Organization
KID AT HEART THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIANNA T CHESSER PT (OWNER)
(616) 510-1267
Entity
Organization
Contact information
Practice address
520 BUTTERNUT DR STE 8, PMB # 224, HOLLAND, MI 49424-1587
(616) 510-1267
Mailing address
520 BUTTERNUT DR STE 8, PMB # 224, HOLLAND, MI 49424-1587
(616) 510-1267
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
07/13/2009
Last updated
12/29/2009
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