Individual
JASON LEE MOTTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6201 68TH ST SE, CALEDONIA, MI 49316
(231) 291-8020
Mailing address
100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501017709
MI
Other
Enumeration date
03/06/2018
Last updated
07/27/2021
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