Individual
MR. JON DAVID ELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
5590 MAIN ST., SUITE 4, LEXINGTON, MI 48450
(810) 359-8700
(810) 359-8702
Mailing address
PO BOX 416, 5590 MAIN STREET , SUITE 4, LEXINGTON, MI 48450-0416
(810) 359-8700
(810) 359-8702
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501008405
MI
Other
Enumeration date
10/30/2006
Last updated
07/08/2007
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