| NPI | 1376604389 |
|---|---|
| Doing Business As | WEST MICHIGAN SPORTS MEDICINE CLINIC |
| Entity Type | Organization |
| Authorized Contact | JIMMIE J ANTHONY Owner Physical Therapist 231-728-4102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501007594) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2020-08-22 |