Individual
JEREMY DECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
607 DEWEY AVE NW, STE 300, GRAND RAPIDS, MI 49504-7335
(616) 356-5000
Mailing address
607 DEWEY AVE NW, STE 300, GRAND RAPIDS, MI 49504-7335
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501016922
MI
Other
Enumeration date
03/07/2017
Last updated
03/07/2017
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