| NPI | 1386673051 |
|---|---|
| Other Name | INNOVATIVE PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | RICHARD LEAVER CEO 616-356-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 3054 - 24) |
| 225100000X Physical Therapist (Licence: WI 9558 - 024) | |
| 225100000X Physical Therapist (Licence: WI 10605 - 024) | |
| 225200000X Physical Therapy Assistant (Licence: WI 348 - 019) | |
| 225200000X Physical Therapy Assistant (Licence: WI 969 - 019) | |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2022-03-17 |