Individual
TIMOTHY CASSITY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2090 87TH ST SW, BYRON CENTER, MI 49315-9263
(765) 748-9083
Mailing address
2090 87TH ST SW, BYRON CENTER, MI 49315-9263
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
—
—
Other
Enumeration date
08/04/2023
Last updated
08/04/2023
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