Individual
JARED GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT,DPT
Contact information
Practice address
1490 E BELTLINE AVE SE, GRAND RAPIDS, MI 49506-4336
(616) 840-8000
Mailing address
1490 E BELTLINE AVE SE, GRAND RAPIDS, MI 49506-4336
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501302879
MI
Other
Enumeration date
08/28/2023
Last updated
09/18/2024
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