Individual
MICHELLE KUZMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, AT, ATC, CPT
Contact information
Practice address
4100 LAKE DR SE, GRAND RAPIDS, MI 49546-8292
(616) 894-1658
Mailing address
7550 MYERS LAKE AVE NE, ROCKFORD, MI 49341-8537
(616) 894-1658
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601001486
MI
Other
Enumeration date
03/26/2019
Last updated
03/26/2019
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