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1487385043
TYLER WATERWAY
GRAND RAPIDS, MI
NPI
1487385043
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501302073)
Enumeration Date
2022-06-23
Last Update Date
2022-06-23
Business Address
TYLER WATERWAY DPT
2500 E BELTLINE AVE SE STE J
GRAND RAPIDS, MI 49546-5987
Phone number: 616-855-6588
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Mailing Address
TYLER WATERWAY DPT
5135 HIDE AWAY LN
HUDSONVILLE, MI 49426-7373
Phone number: 616-610-4273
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