Organization
FUNCTIONAL INNOVATIVE THERAPY, LLC
Active
Other names
FIT Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TREY JOSEPH KUBIZNA DPT (MEMBER)
(616) 365-9394
Entity
Organization
Contact information
Practice address
3035 HOAG AVE NE, GRAND RAPIDS, MI 49525-9632
(616) 365-9394
(616) 365-9394
Mailing address
3035 HOAG AVE NE, GRAND RAPIDS, MI 49525-9632
(616) 365-9394
(616) 365-9394
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
5501012424
MI
Other
Enumeration date
08/12/2006
Last updated
04/22/2008
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