Individual
LISA CREECH HOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 WILSON AVE SW, GRANDVILLE, MI 49418-1854
(616) 534-5487
Mailing address
200 GLENHAVEN AVE NW, GRAND RAPIDS, MI 49504-4932
(616) 301-4426
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
311880
—
224Z00000X
Occupational Therapy Assistant
Primary
5202007718
MI
Other
Enumeration date
12/08/2025
Last updated
12/08/2025
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