Individual
JENNIFER SACKRIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
892 E CHICAGO ST STE H, COLDWATER, MI 49036-2063
(517) 278-9533
Mailing address
128 LOWELL AVE, BATTLE CREEK, MI 49014-8951
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NO LICENSE
PTA
MI
Enumeration date
05/16/2007
Last updated
07/08/2007
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