Individual
JAIME MICHELLE MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4100 LAKE DR SE, SUITE 305, GRAND RAPIDS, MI 49546-8292
(616) 285-1377
(616) 285-1006
Mailing address
PO BOX 120070, GRAND RAPIDS, MI 49528-0102
(616) 940-0660
(616) 940-1965
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501010411
MI
Other
Enumeration date
06/19/2007
Last updated
09/12/2007
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