Individual
HANNAH NEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
721 3 MILE RD NW STE 100, GRAND RAPIDS, MI 49544-8230
(616) 265-2414
Mailing address
3755 REMEMBRANCE RD NW STE 2, GRAND RAPIDS, MI 49534-7745
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5501014080
STATE LICENSE
MI
Enumeration date
04/29/2021
Last updated
04/29/2021
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