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Justin Matthew Niemi, PTA

Physical Therapy Assistant in Spring Arbor, MI. Individual provider (NPI-1).

NPI number1306129390
StatusActive
Last updated in NPPESSep 26, 2011

Details

NPI
1306129390
Entity type
Individual (NPI-1)
Name
Justin Matthew Niemi
Credential
PTA
Sex
Male
Sole proprietor
Yes
Enumeration date
Sep 26, 2011
Last updated
Sep 26, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy Assistant5502000830MIYes

Practice location

151 2nd St
Spring Arbor, MI 49283-9647

Phone 517-750-4412 · Fax 517-750-4432

Mailing address

151 2nd St
Spring Arbor, MI 49283-9647

Phone 517-750-4412 · Fax 517-750-4432

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