Individual
AMIA A GAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
7402 WESTSHIRE DR STE 105, LANSING, MI 48917-8687
(517) 853-6800
(517) 853-6801
Mailing address
7402 WESTSHIRE DR STE 105, LANSING, MI 48917-8687
(517) 853-6800
(517) 853-6801
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501302334
MI
2255A2300X
Athletic Trainer
TX948229
OH
Other
Enumeration date
09/04/2015
Last updated
11/08/2022
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