Individual
JENNIFER LYNN MORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1401 CEDAR ST NE, GRAND RAPIDS, MI 49503-1375
(616) 486-3900
Mailing address
1401 CEDAR ST NE, GRAND RAPIDS, MI 49503-1375
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501012867
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5501012867
—
MI
Enumeration date
03/07/2018
Last updated
03/07/2018
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