Individual
NANCY KATHLEEN JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1490 E BELTLINE AVE SE, GRAND RAPIDS, MI 49506-4336
(616) 821-0003
Mailing address
4555 TABOR RD NW, COMSTOCK PARK, MI 49321-9329
(616) 821-0003
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502001123
MI
225200000X
Physical Therapy Assistant
—
—
Other
Enumeration date
03/01/2012
Last updated
09/19/2019
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