Provider Demographics
NPI:1427948785
Name:PLANCK, JOANNA MARIE (LMT)
Entity type:Individual
Prefix:MISS
First Name:JOANNA
Middle Name:MARIE
Last Name:PLANCK
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3995 BROADWAY STE 150
Mailing Address - Street 2:
Mailing Address - City:GROVE CITY
Mailing Address - State:OH
Mailing Address - Zip Code:43123-2639
Mailing Address - Country:US
Mailing Address - Phone:614-883-8100
Mailing Address - Fax:614-883-8101
Practice Address - Street 1:3995 BROADWAY STE 150
Practice Address - Street 2:
Practice Address - City:GROVE CITY
Practice Address - State:OH
Practice Address - Zip Code:43123-2639
Practice Address - Country:US
Practice Address - Phone:614-883-8100
Practice Address - Fax:614-883-8101
Is Sole Proprietor?:No
Enumeration Date:2025-07-08
Last Update Date:2025-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH33.027267225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist