Individual
MICHELLE STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA/L
Contact information
Practice address
2786 56TH ST SW, WYOMING, MI 49418-8708
(616) 261-3960
(616) 261-3925
Mailing address
2000 32ND ST SE, GRAND RAPIDS, MI 49508-7910
(616) 261-3960
(616) 261-3925
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
L2263382
MI
Other
Enumeration date
11/05/2013
Last updated
10/26/2020
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