Individual
MR. KEVIN JON EICKHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1140 MONROE AVE NW STE 150, GRAND RAPIDS, MI 49503-1055
(616) 459-6331
Mailing address
1140 MONROE AVE NW STE 150, GRAND RAPIDS, MI 49503-1055
(616) 459-6331
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
06/30/2008
Last updated
06/30/2008
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