Individual
JUSTIN MATTHEW NIEMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
151 2ND ST, SPRING ARBOR, MI 49283-9647
(517) 750-4412
(517) 750-4432
Mailing address
151 2ND ST, SPRING ARBOR, MI 49283-9647
(517) 750-4412
(517) 750-4432
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502000830
MI
Other
Enumeration date
09/26/2011
Last updated
09/26/2011
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