KELLEN D LAWLESS

GRAND RAPIDS, MI
NPI1518218163
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: MI  5501016031)
Enumeration Date2012-09-23
Last Update Date2012-09-24
Business Address
-- KELLEN D LAWLESS DPT
1140 MONROE AVE NW SUITE 5201
GRAND RAPIDS, MI 49503-1055
Phone number: 616-401-2785
Mailing Address
-- KELLEN D LAWLESS DPT
612 BAYBERRY POINTE DR NW APT #J
GRAND RAPIDS, MI 49534-4601
Phone number: 989-906-3359
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