Individual
SUSAN ATHEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1971 E BELTLINE AVE NE, GRAND RAPIDS, MI 49525-7045
(617) 575-0216
Mailing address
5563 MYERS LAKE AVE NE, BELMONT, MI 49306-9644
(773) 531-7481
Taxonomy
Speciality
Code
Description
License number
State
2081N0008X
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
Primary
4466951
MI
Other
Enumeration date
10/26/2017
Last updated
10/26/2017
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