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Organization
SPINE PHYSICAL THERAPY, LLC
Active
Organization
SPINE PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDY HOWARD ST JOHN P.T. (OWNER)
(269) 492-6575
Entity
Organization
Contact information
Practice address
7125 STADIUM DRIVE, KALAMAZOO, MI 49009
(269) 492-6575
(269) 492-6577
Mailing address
7125 STADIUM DRIVE, KALAMAZOO, MI 49009
(269) 492-6575
(269) 492-6577
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
12/11/2006
Last updated
01/13/2016
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