Individual
CHRISTINE R VLIETSTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
315 TURWILL LN, KALAMAZOO, MI 49006-4231
(269) 343-8170
(269) 382-2388
Mailing address
315 TURWILL LN, KALAMAZOO, MI 49006-4231
(269) 343-8170
(269) 382-2388
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501011909
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
650C913940
BCBS
MI
Enumeration date
03/14/2006
Last updated
02/25/2011
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