Search › Michigan › 174400000X
Jordan Profitt, MA, ATC/L
NPI 1568845139 · on the registry since 2015 · sole proprietor
Practice
- Address
- 607 Dewey Ave Nw Ste 300
Grand Rapids, MI 49504 - Phone
- (253) 332-3398
- Organisation at this address
- Agility Health Rehabilitation Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 174400000X
174400000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-07-01
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