Jdr74 Holdings, LLC
Physical Therapist in Dewitt, MI. Organization (NPI-2).
NPI number1649779331
StatusActive
Last updated in NPPESFeb 7, 2018
Details
- NPI
- 1649779331
- Entity type
- Organization (NPI-2)
- Legal business name
- Jdr74 Holdings, LLC
- Organization subpart
- No
- Enumeration date
- Feb 7, 2018
- Last updated
- Feb 7, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 5501014355 | MI | Yes |
Other names
- 5 Star Physical Therapy Specialists (Other Name)
Practice location
13060 S Us Highway 27 Ste C4Dewitt, MI 48820-9319
Phone 517-449-7173
Mailing address
13060 S Us Highway 27 Ste C4Dewitt, MI 48820-9319
Phone 517-449-7173
Authorized official
Ryan Matthew Raborn
Physical Therapist
5174497173
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All 19 Physical Therapist providers in Dewitt · All 234 providers in Dewitt
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