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Organization
MINDSETPT LLC
Active
Organization
MINDSETPT LLC
Active
Other names
MindsetPT
Organization subpart
No
Provider details
NPI number
Authorized official
ELLEN W HECTOR PT, DPT, COMT, ITPT (OWNER, PHYSICAL THERAPIST)
(248) 361-9693
Entity
Organization
Contact information
Practice address
6955 W Q AVE, KALAMAZOO, MI 49009-8942
(269) 301-0862
(269) 525-2331
Mailing address
10926 PAW PAW LAKE DR, SCHOOLCRAFT, MI 49087-9436
(248) 361-9693
(269) 525-2331
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
802227054
MI LARA
MI
Enumeration date
03/12/2019
Last updated
06/11/2019
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