Individual
RUSSELL T NEHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
4450 CASCADE RD SE, GRAND RAPIDS, MI 49546-3633
(616) 949-5140
Mailing address
3370 SAGECREST DR, HUDSONVILLE, MI 49426-8827
(989) 430-4581
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502003945
MI
Other
Enumeration date
09/25/2020
Last updated
09/25/2020
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