Healthcare Provider Details

I. General information

NPI: 1629995774
Provider Name (Legal Business Name): KATHERINE COONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13509 SUNLIGHT STAR ST
BAKERSFIELD CA
93314-8447
US

IV. Provider business mailing address

13509 SUNLIGHT STAR ST
BAKERSFIELD CA
93314-8447
US

V. Phone/Fax

Practice location:
  • Phone: 661-369-5200
  • Fax:
Mailing address:
  • Phone: 661-369-5200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: KATHERINE MARIE COONS
Title or Position: MASSAGE THERAPIST
Credential:
Phone: 661-369-5200