Will Knoll
Physical Therapist in Portage, MI. Individual provider (NPI-1).
NPI number1033802459
StatusActive
Last updated in NPPESMay 31, 2023
Details
- NPI
- 1033802459
- Entity type
- Individual (NPI-1)
- Name
- Will Knoll
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 31, 2023
- Certification date
- May 31, 2023
- Last updated
- May 31, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 5501302579 | MI | Yes |
Practice location
6016 Lovers Ln Ste 3Portage, MI 49002-3050
Phone 269-329-0934
Mailing address
625 Kenmoor Ave Se Ste 100Grand Rapids, MI 49546-2395
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