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Individual

JOSHUA KETTLEWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Contact information

Practice address
5717 OAKLAND DR, PORTAGE, MI 49024-1116
(269) 459-6212
Mailing address
3247 BABCOCK RD, LEXINGTON, MI 48450-9516
(989) 817-2121

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501017286
MI

Other

Enumeration date
06/06/2016
Last updated
06/06/2016
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