| NPI | 1134331689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM B BEADENKOPF Co Owner 616-446-9058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501010446) |
| Enumeration Date | 2007-05-05 |
| Last Update Date | 2020-08-22 |