Search › Michigan › 2255A2300X
Jack Broaddus, ATC
NPI 1134805096 · on the registry since 2023
Practice
- Address
- 1200 S State St
Ann Arbor, MI 48109 - Phone
- (734) 647-2583
- Clinicians at this address
- 14
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-06-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan