Organization
KALAMAZOO ATHLETIC WELLNESS LLC
Active
Other names
Kalamazoo Athletic Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICHOLAS TODD GARMAN LMT (MEMBER)
(269) 870-0156
Entity
Organization
Contact information
Practice address
200 TURWILL LN, STE 102, KALAMAZOO, MI 49006-4277
(269) 870-0156
Mailing address
200 TURWILL LN, STE 102, KALAMAZOO, MI 49006-4277
(269) 870-0156
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
7501001033
MI
Other
Enumeration date
09/25/2013
Last updated
09/25/2013
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