Healthcare Provider Details

I. General information

NPI: 1902173024
Provider Name (Legal Business Name): FRANCES KOBUS CMT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/17/2011
Last Update Date: 11/17/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1397 S LINDEN RD STE B
FLINT MI
48532-4194
US

IV. Provider business mailing address

1397 S LINDEN RD STE B
FLINT MI
48532-4194
US

V. Phone/Fax

Practice location:
  • Phone: 810-230-9750
  • Fax: 810-230-8799
Mailing address:
  • Phone: 810-230-9750
  • Fax: 810-230-8799

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: