| Tate Rozeveld, | |
| 
					26 N State St, Zeeland, MI 49464-1281  | |
| (616) 256-8677 | |
| Not Available | 
| Full Name | Tate Rozeveld | 
|---|---|
| Gender | Male | 
| Speciality | Physical Therapist | 
| Location | 26 N State St, Zeeland, Michigan | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1689458705 | NPI | - | NPPES | 
| 5501302737 | Other | MI | STATE LICENSE | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary | 
| Provider Name | Hulst Jepsen Physical Therapy Inc | 
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice | 
| Provider Identifiers | NPI Number: 1609957760 PECOS PAC ID: 8325033285 Enrollment ID: O20060206000755  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Tate Rozeveld, Po Box 30516, Dept 5300, Lansing, MI 48909 Ph: () -  | Tate Rozeveld, 26 N State St, Zeeland, MI 49464-1281 Ph: (616) 256-8677  | 
Amy Wallenburg, P.T., M.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 26 N State St, Suite 400, Zeeland, MI 49464 Phone: 616-772-5643 Fax: 616-772-5819  | |
Dr. Daniel Masin Harvey, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 9479 Riley St Ste And215, Zeeland, MI 49464 Phone: 616-300-9498 Fax: 866-245-5601  | |
Bruce Lamoine Greenlee, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8333 Felch St Ste 101, Zeeland, MI 49464 Phone: 616-772-5795  | |
Jeffrey J. Green, P.T Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Royal Park Dr, Ste 2, Zeeland, MI 49464 Phone: 616-772-1370 Fax: 616-772-9774  | |
Craig Edward Stasio, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 8516 Homestead Dr Ste 107, Zeeland, MI 49464 Phone: 616-741-9555 Fax: 616-741-9559  | |
Julie Kay Deboer,  Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8333 Felch St, Zeeland, MI 49464 Phone: 616-772-7520  | |
Kristen Diane Schoenborn, DPT, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8333 Felch St Ste 101, Zeeland, MI 49464 Phone: 616-772-5795  |