| Great Lakes Physical Therapy-north Muskegon, Llc | |
|
2045 Holton Rd, North Muskegon, MI 49445-1535 | |
| (231) 744-0077 | |
| (231) 744-0030 |
| Full Name | Great Lakes Physical Therapy-north Muskegon, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 2045 Holton Rd, North Muskegon, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265774368 | NPI | - | NPPES |
| 30609 | Other | MI | BCBS |
| 4717630 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 5501011276 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Great Lakes Physical Therapy-north Muskegon, Llc 2045 Holton Rd, North Muskegon, MI 49445-1535 Ph: (231) 744-0077 | Great Lakes Physical Therapy-north Muskegon, Llc 2045 Holton Rd, North Muskegon, MI 49445-1535 Ph: (231) 744-0077 |
Mr. Krupal R Amin, RPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1519 E River Rd, Suite # A, North Muskegon, MI 49445 Phone: 231-744-9800 Fax: 231-744-9833 | |
Ms. Jane M Wright, PT, MHS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2045 Holton Rd, North Muskegon, MI 49445 Phone: 231-744-0077 Fax: 231-744-0030 |