Doctor Name: | DR. ROBERT EDWARD COLEMAN |
NPI Number: | 1891078275 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | ND, LMT |
License Number: | 10900-146 |
Business Practice Address: | 4465 N Oakland Ave Ste 200s Integrative Health Services Shorewood, WI - 532111662 |
Business Phone Number: | 4149060285 |
Business Fax Number: | 4149060285 |
Mailing Address: | 4465 N Oakland Ave Ste 200s, Integrative Health Services SHOREWOOD |
State: | WI |
Postal Code: | 532111662 |
Phone Number: | 4149060285 |
Fax Number: | 4149060285 |
NPI Enumeration Date: | 09/22/2011 |
NPI Last Update Date: | 09/22/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 10900-146 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WI |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |