Individual
EMMA KAY VANDEKIEFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2591 44TH ST SE STE 101, GRAND RAPIDS, MI 49512-9094
(616) 281-9237
Mailing address
6527 THORNAPPLE RIVER DR SE, ALTO, MI 49302-9765
(616) 581-4341
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502008302
MI
Other
Enumeration date
04/19/2023
Last updated
04/19/2023
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