Individual
MR. JAKE EDWARD KUIPERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1903 W MICHIGAN AVE, HEALTH AND HUMAN PERFORMANCE, KALAMAZOO, MI 49008-5200
(269) 387-2703
Mailing address
2244 DEVONSHIRE DR NE, GRAND RAPIDS, MI 49505-4436
(616) 307-4461
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601001522
MI
Other
Enumeration date
11/23/2015
Last updated
11/23/2015
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