Rock Steady Boxing Mid Michigan
NPI 1104354349ActiveOrganization· Rehabilitation Practitioner· Midland, MI
Rehabilitation Practitioner in Midland, Michigan, registered in NPPES in June 2017. The authorized official on file is Stacey Lynne Hannah, Owner/Head Coach.
Overview
| NPI | 1104354349 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 1, 2017 |
| Last updated in NPPES | Jun 1, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Rehabilitation Practitioner Primary | 225400000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Rehabilitation Practitioner providers in Midland
- 1316369119
- 1700329075