Search › Michigan › 225200000X
Judy Wallis, PTA
NPI 1356558324 · on the registry since 2007 · sole proprietor
Practice
- Address
- Marywood Health Center
111 Lakeside Drive Ne
Grand Rapids, MI 49503 - Phone
- (616) 453-7715
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Also registered as
- 225200000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-12-07
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