Individual
ANDREW BULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
5819 BALSAM DR., HUDSONVILLE, MI 49426
(616) 209-5435
Mailing address
PO BOX 30516, DEPT 5300, LANSING, MI 48909-8016
(616) 901-3117
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501018946
MI
Other
Enumeration date
11/16/2018
Last updated
06/14/2021
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