| NPI | 1326413196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN RENEE VANDERHORST Owner 231-922-9622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172M00000X Mechanotherapist (Licence: MI 7501000399) |
| Enumeration Date | 2015-12-04 |
| Last Update Date | 2018-08-22 |