EVAN COONROD NPI 1750982211

NPI Information

  • NPI: 1750982211
  • Provider Name: EVAN COONROD
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Individual
  • Address: 239 STEAMBOAT LN
    BALLWIN, MO
    ZIP 63011
  • Phone: (314) 570-9717

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NPI Details

Evan Coonrod is a massage therapist in Ballwin, MO. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. Evan Coonrod NPI is 1750982211. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

239 STEAMBOAT LN
BALLWIN, MO
ZIP 63011-203
Phone: (314) 570-9717

The enumeration date for this NPI number is 11/2/2020 and was last updated on 11/2/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225700000XMassage Therapist2018012292MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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