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Organization
SHORELINE SPORT & SPINE PLLC
Active
Organization
SHORELINE SPORT & SPINE PLLC
Active
Other names
i'move
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN J SYTSEMA OMPT, FAAOMPT, CIMT (DIRECTOR OF CLINICAL OPERATIONS)
(616) 847-1280
Entity
Organization
Contact information
Practice address
18000 COVE STREET, SUITE 202, SPRING LAKE, MI 49456
(616) 847-1280
(616) 847-1290
Mailing address
18000 COVE ST STE 202, SPRING LAKE, MI 49456-1383
(616) 847-1280
(616) 847-1290
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/13/2006
Last updated
09/22/2025
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