Individual
MICHAEL JAMES LIGHTFOOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
6120 STADIUM DR # 100, KALAMAZOO, MI 49009-3022
(269) 372-8555
(269) 372-9555
Mailing address
6120 STADIUM DR # 100, KALAMAZOO, MI 49009-3022
(269) 372-8555
(269) 372-9555
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201001049
MI
Other
Enumeration date
12/06/2018
Last updated
12/06/2018
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