SearchMichigan225X00000X

Jessica Van Walleghem

NPI 1649836271 · on the registry since 2019

Practice

Address
16137 Leone Dr
Macomb, MI 48042
Phone
(586) 566-0326
Organisation at this address
Thera-Peds
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
225X00000X
225X00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-04-08

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