SearchMichiganPhysical Therapy Assistant

Kevin Mansfield

NPI 1376012054 · on the registry since 2018 · sole proprietor

Practice

Address
630 Kenmoor Ave Se Ste 200
Grand Rapids, MI 49546
Phone
(800) 379-1600
Organisation at this address
Kara Pettinger, L.L.C.
Womens Health Collective
Thistle And Fern Wellness Llc
Blue Bridge Specialty Pharmacy, Llc
Melissa Muir Counseling Services Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
18

Registry record

Primary taxonomy
Physical Therapy Assistant
225200000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-11-25

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