Organization
FUEL PHYSICAL THERAPY & SPORTS PERFORMANCE
Active
Organization
FUEL PHYSICAL THERAPY & SPORTS PERFORMANCE
Active
Other names
Fuel Health & Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC SCOTT BROADWORTH DPT (OWNER/PHYSICAL THERAPIST)
(810) 347-5219
Entity
Organization
Contact information
Practice address
130 MARKET AVE SW # 106, GRAND RAPIDS, MI 49503-4029
(810) 347-5219
(616) 259-4226
Mailing address
1139 HOUSEMAN AVE NE, GRAND RAPIDS, MI 49503-1229
(810) 347-5219
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
11/05/2018
Last updated
05/14/2026
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