Individual
ERIC BROADWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
130 MARKET AVE SW # 106, GRAND RAPIDS, MI 49503-4029
(616) 757-0932
(616) 259-4226
Mailing address
1139 HOUSEMAN AVE NE, GRAND RAPIDS, MI 49503-1229
(810) 347-5219
(616) 259-4226
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501016918
MI
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/14/2014
Last updated
04/28/2026
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