Individual
JASON TYLER WIERSEMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.T.
Contact information
Practice address
1707 S PARK ST STE 100, KALAMAZOO, MI 49001-2725
(269) 234-2942
(866) 521-5945
Mailing address
5500 ARMSTRONG RD, BATTLE CREEK, MI 49037-7314
(269) 966-5600
(269) 223-5166
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501015381
MI
Other
Enumeration date
10/07/2010
Last updated
01/22/2025
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