Individual
DR. BRENT HULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT DPT
Contact information
Practice address
4177 VILLAGE PARK DR, TRAVERSE CITY, MI 49685-7237
(231) 421-5805
(231) 421-8447
Mailing address
4177 VILLAGE PARK DR, TRAVERSE CITY, MI 49685-7237
(231) 421-5805
(231) 421-5308
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501018346
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1750661542
PROVIDER
MI
Enumeration date
08/30/2017
Last updated
09/19/2023
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