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Individual

KAILEY JO RUFFILO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
150 JEFFERSON AVE SE STE 100, GRAND RAPIDS, MI 49503-4306
(616) 356-5000
Mailing address
607 DEWEY AVE NW, STE 300, GRAND RAPIDS, MI 49504-5283
(616) 356-5000
(616) 356-5001

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501016935
MI
225100000X
Physical Therapist
TN

Other

Enumeration date
11/19/2014
Last updated
02/02/2022
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