Shawn Edwin Thornton
Health & Wellness Coach in Flint, MI. Individual provider (NPI-1).
NPI number1235994302
StatusActive
Last updated in NPPESFeb 19, 2024
Details
- NPI
- 1235994302
- Entity type
- Individual (NPI-1)
- Name
- Shawn Edwin Thornton
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 19, 2024
- Certification date
- Feb 18, 2024
- Last updated
- Feb 19, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171400000X | Health & Wellness Coach | – | – | Yes |
Practice location
422 W 4th AveFlint, MI 48503-2404
Phone 810-496-5500
Mailing address
3092 Durant HtsGrand Blanc, MI 48507-4514
Phone 810-516-1828
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