Individual provider · NPI-1

Breanna Donehue, CEP

Clinical Exercise Physiologist · Ypsilanti, MI

NPI number1790465276
StatusActive
Last updated in NPPESJul 20, 2023

Details

NPI
1790465276
Entity type
Individual (NPI-1)
Name
Breanna Donehue
Credential
CEP
Sex
Female
Sole proprietor
No
Enumeration date
Jul 20, 2023
Certification date
Jul 20, 2023
Last updated
Jul 20, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
224Y00000X Clinical Exercise Physiologist––Yes

Practice location

5325 Elliott Dr Ste 202
Ypsilanti, MI 48197-8633

Phone 734-712-8000

Mailing address

47026 Yarmouth Dr
Canton, MI 48188-6236

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