Organization
ELK RAPIDS PHYSICAL THERAPY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RHONDA BAKER LAMMERS P.T. (OWNER)
(231) 264-6682
Entity
Organization
Contact information
Practice address
128 AMES ST, ELK RAPIDS, MI 49629-9739
(231) 264-6682
Mailing address
128 AMES ST, ELK RAPIDS, MI 49629-9739
(231) 264-6682
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501003682
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0Z557010
BLUE CROSS BLUE SHIELD
MI
01
—
22361
PRIORITY HEALTH
MI
01
—
7823578
AETNA
MI
Enumeration date
01/17/2007
Last updated
04/13/2015
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