Individual
JOHN JANSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
6563 W MAIN ST, SUITE: LOWER LEVEL, KALAMAZOO, MI 49009-4051
(269) 488-3320
(269) 372-6113
Mailing address
6563 W MAIN ST, SUITE: LOWER LEVEL, KALAMAZOO, MI 49009-4051
(269) 488-3320
(269) 372-6113
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502004915
MI
Other
Enumeration date
09/08/2016
Last updated
09/08/2016
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