Individual
BRUCE E POMMERENING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMT, CR
Contact information
Practice address
868 BUTTERNUT DR, OFFICE ENTRANCE, HOLLAND, MI 49424-1517
(616) 796-4618
Mailing address
868 BUTTERNUT DR, HOLLAND, MI 49424-1517
(616) 796-4618
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
—
—
225700000X
Massage Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00425
BUREAU OF PROFESSIONAL LICENSURE
IA
Enumeration date
03/25/2010
Last updated
08/18/2014
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