Individual provider · NPI-1
Beth Addesso, MS, CES
Clinical Exercise Physiologist · Rochester Hills, MI
NPI number1306200019
StatusActive
Last updated in NPPESApr 8, 2016
Details
- NPI
- 1306200019
- Entity type
- Individual (NPI-1)
- Name
- Beth Addesso
- Credential
- MS, CES
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 8, 2016
- Last updated
- Apr 8, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224Y00000X | Clinical Exercise Physiologist | 532835 | MI | Yes |
Practice location
1135 W University DrSuite 250
Rochester Hills, MI 48307-1871
Phone 248-453-0170 · Fax 248-453-0211
Mailing address
1135 W University DrSuite 250
Rochester Hills, MI 48307-1871
Phone 248-453-0170 · Fax 248-453-0211
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.