Individual
MS. HEATHER M ELWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
300 NORTH AVE FL 6, BATTLE CREEK, MI 49017-3307
(269) 245-4675
Mailing address
9815 S AVE, MATTAWAN, MI 49071-9461
(269) 207-0223
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502001992
MI
Other
Enumeration date
10/16/2018
Last updated
10/16/2018
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