Individual
KEITH MICHAEL HINTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
425 E ELM ST, WAYLAND, MI 49348-1109
(269) 792-2249
(269) 792-6121
Mailing address
425 E ELM ST, WAYLAND, MI 49348-1109
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502002079
MI
Other
Enumeration date
04/11/2019
Last updated
04/11/2019
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