Individual
COURTNEY EARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
709 W SUPERIOR ST, WAYLAND, MI 49348-1226
(269) 792-4440
Mailing address
6411 COLLEGE AVE SE, KENTWOOD, MI 49548-6958
(616) 717-2191
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501018679
MI
Other
Enumeration date
06/25/2018
Last updated
06/25/2018
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