| NPI | 1609957760 |
|---|---|
| Former Legal Business Name | HULST JEPSEN PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | THOMAS JAMES HULST President 616-281-1144 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2014-02-21 |