Kelly Jo Maxwell
Physical Therapy Assistant in Grand Rapids, MI. Individual provider (NPI-1).
NPI number1295032142
StatusActive
Last updated in NPPESFeb 11, 2011
Details
- NPI
- 1295032142
- Entity type
- Individual (NPI-1)
- Name
- Kelly Jo Maxwell
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 11, 2011
- Last updated
- Feb 11, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | L1680636 | MI | Yes |
Practice location
3041 Charlevoix Dr SeGrand Rapids, MI 49546-7035
Phone 616-942-7200
Mailing address
3041 Charlevoix Dr SeGrand Rapids, MI 49546-7035
Phone 616-942-7200
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All 63 Physical Therapy Assistant providers in Grand Rapids · All 20,987 providers in Grand Rapids
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