Individual
JACOB BRADLEY WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT, MMT, NMT, CLT
Contact information
Practice address
700 3 MILE RD NW, GRAND RAPIDS, MI 49544-8220
(231) 510-8630
Mailing address
1530 JOHNSTON ST SE, GRAND RAPIDS, MI 49507-2831
(231) 510-0863
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501014520
MI
Other
Enumeration date
02/06/2024
Last updated
02/06/2024
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