Individual
ANN LOUISE KETTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3152 PEREGRINE DR NE STE 115, GRAND RAPIDS, MI 49525-9723
(616) 643-0833
(161) 643-0844
Mailing address
3152 PEREGRINE DR NE STE 115, GRAND RAPIDS, MI 49525-9723
(616) 643-0833
(616) 643-0844
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502003826
MI
Other
Enumeration date
05/20/2021
Last updated
05/20/2021
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