Individual
BROOKELYN MIKELLE STAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
521 E DIVISION ST, ROCKFORD, MI 49341-1376
(616) 866-6859
(616) 866-6897
Mailing address
4045 WOODLAND CREEK DR SE, GRAND RAPIDS, MI 49512-8356
(616) 866-6859
(616) 866-6897
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501304183
MI
Other
Enumeration date
11/06/2025
Last updated
11/06/2025
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