Provider Demographics
NPI:1124738844
Name:HONMYHR, AMY RACHELLE (HEALTH COACH)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:RACHELLE
Last Name:HONMYHR
Suffix:
Gender:F
Credentials:HEALTH COACH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10260 JUNO AVE N
Mailing Address - Street 2:
Mailing Address - City:STILLWATER
Mailing Address - State:MN
Mailing Address - Zip Code:55082-9437
Mailing Address - Country:US
Mailing Address - Phone:917-621-6016
Mailing Address - Fax:
Practice Address - Street 1:10260 JUNO AVE N
Practice Address - Street 2:
Practice Address - City:STILLWATER
Practice Address - State:MN
Practice Address - Zip Code:55082-9437
Practice Address - Country:US
Practice Address - Phone:917-621-6016
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-05
Last Update Date:2022-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach