Organization
HULST JEPSEN PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JEANNETTE REISTER (BILLING SPECIALIST)
(616) 281-1144
Entity
Organization
Contact information
Practice address
2120 43RD ST SE, SUITE 100, GRAND RAPIDS, MI 49508-3772
(616) 281-1144
(616) 281-1221
Mailing address
346 68TH ST SW, GRAND RAPIDS, MI 49548-7179
(616) 281-1144
(616) 281-1221
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
05/20/2009
Last updated
05/20/2009
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