Individual
JAMIE PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT, MS
Contact information
Practice address
566 100TH ST SW, BYRON CENTER, MI 49315-8498
(616) 239-8466
Mailing address
566 100TH ST SW, BYRON CENTER, MI 49315-8498
(616) 239-8466
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501303333
MI
Other
Enumeration date
12/21/2024
Last updated
12/21/2024
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