Individual
JACOB HOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT, AT, ATC
Contact information
Practice address
1232 GRISWOLD ST SE, GRAND RAPIDS, MI 49507-3815
(616) 207-3861
Mailing address
1002 W BROOMFIELD ST APT 8C, MOUNT PLEASANT, MI 48858-4530
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
5501302468
MI
Other
Enumeration date
05/30/2023
Last updated
04/28/2025
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