Individual
AMY KORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2120 43RD ST SE, SUITE 100, GRAND RAPIDS, MI 49508
(616) 281-1144
Mailing address
PO BOX 30516, DEPT 5300, LANSING, MI 48909
(616) 242-0300
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501011979
MI
Other
Enumeration date
02/08/2016
Last updated
09/08/2021
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