# RED CEDAR PHYSICAL THERAPY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992876221
- **Authorized official:** MS. SELENA A. HORNER PT (PRESIDENT)
- **Authorized official phone:** (517) 655-8569

## Contact information

- **Practice address:** 1218 E GRAND RIVER RD, WILLIAMSTON, MI 48895-9335
- **Practice address phone:** (517) 655-8569
- **Practice address fax:** (517) 655-8604
- **Mailing address:** 1218 E GRAND RIVER RD, WILLIAMSTON, MI 48895-9335
- **Mailing address phone:** (517) 655-8569
- **Mailing address fax:** (517) 655-8604

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 5501006535 | MI | Yes |

## Other

- **Enumeration date:** 11/10/2006
- **Last updated:** 05/05/2014