Organization
MICHIGAN REHAB AND PERFORMANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB M BLACKMER PT, DPT (OWNER OPERATOR)
(231) 923-6349
Entity
Organization
Contact information
Practice address
324 S JAMES ST, LUDINGTON, MI 49431-2106
(231) 923-6349
(734) 456-6364
Mailing address
1098 ANN ARBOR RD W STE 666, PLYMOUTH, MI 48170-2129
(231) 923-6349
(734) 456-6364
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
11/08/2020
Last updated
03/27/2025
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