Individual
JENNA MAKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AT, ATC
Contact information
Practice address
602 MICHIGAN AVE, HOLLAND, MI 49423-4918
(616) 392-5141
Mailing address
16 COUNTS COVE CT, HOLLAND, MI 49424-2592
(616) 994-2296
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
2601001590
MI
Other
Enumeration date
10/19/2015
Last updated
10/19/2015
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