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Organization
THERAPY SPECIALISTS, INC.
Active
Organization
THERAPY SPECIALISTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN LEO STRATTON MHSPT (PRESIDENT)
(616) 292-6736
Entity
Organization
Contact information
Practice address
1444 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2028
(616) 292-6736
(616) 774-0961
Mailing address
1444 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2028
(616) 292-6736
(616) 774-0961
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501004057
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
650D157400
BLUE CROSS BLUE SHIELD
MI
Enumeration date
07/13/2006
Last updated
09/04/2013
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