Individual
JULIE RENEE KIPKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5220 LOVERS LN STE 130, PORTAGE, MI 49002-1528
(800) 343-1396
Mailing address
15110 ALISTER MACKENZIE AVE, AUGUSTA, MI 49012-9345
(616) 558-5574
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
CA
225100000X
Physical Therapist
—
—
Other
Enumeration date
02/06/2008
Last updated
10/22/2019
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