Organization
HULST JEPSEN PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS J HULST PT (PRESIDENT)
(616) 281-1144
Entity
Organization
Contact information
Practice address
4124 56TH ST SW, SUITE 2, WYOMING, MI 49418-9494
(616) 855-1495
(616) 855-1496
Mailing address
2120 43RD ST SE, SUITE 100, GRAND RAPIDS, MI 49508-3772
(616) 281-1144
(616) 281-1221
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501004694
MI
Other
Enumeration date
04/19/2007
Last updated
08/22/2020
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