Individual
NATHAN SCRIPPS I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
243 WILEY RD, DOUGLAS, MI 49406-5108
(269) 857-2141
Mailing address
6159 146TH AVE, HOLLAND, MI 49423-8964
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502005396
MI
Other
Enumeration date
05/28/2018
Last updated
05/28/2018
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