Organization
FUEL HEALTH & WELLNESS - GRANDVILLE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC SCOTT BROADWORTH PT, DPT, OCS (CEO)
(810) 347-5219
Entity
Organization
Contact information
Practice address
4693 WILSON AVE SW STE K, GRANDVILLE, MI 49418-8762
(616) 757-0932
Mailing address
4693 WILSON AVE SW STE K, GRANDVILLE, MI 49418-8762
(616) 757-0932
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
02/28/2026
Last updated
02/28/2026
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