Individual
KENNETH SPAULDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1221 E 16TH ST, HOLLAND, MI 49423-9127
(616) 396-7095
(616) 396-7157
Mailing address
1221 E 16TH ST, HOLLAND, MI 49423-9127
(616) 396-7095
(616) 396-7157
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
L2262582
MI
Other
Enumeration date
11/07/2013
Last updated
11/07/2013
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