Individual
JENNIFER WOLFFIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1232 GRISWOLD ST SE, GRAND RAPIDS, MI 49507-3815
(616) 207-3861
(616) 327-6364
Mailing address
1232 GRISWOLD ST SE, GRAND RAPIDS, MI 49507-3815
(616) 207-3861
(616) 327-6364
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501007449
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
225100000X
TAXONOMY CODE
MI
01
—
5501007449
PHYSICAL THERAPIST LICENSE
MI
Enumeration date
11/13/2007
Last updated
04/29/2024
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