| NPI | 1558713388 |
|---|---|
| Doing Business As | AMPLIFIED LIFE |
| Entity Type | Organization |
| Authorized Contact | LYLE LABARDEE President 616-724-6943 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401003943) |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2016-07-05 |
| Last Update Date | 2020-09-22 |