Link A Dephouse, PT
Physical Therapist in Grand Haven, MI. Individual provider (NPI-1).
NPI number1710071360
StatusActive
Last updated in NPPESJan 23, 2025
Details
- NPI
- 1710071360
- Entity type
- Individual (NPI-1)
- Name
- Mr. Link A Dephouse
- Credential
- PT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 3, 2006
- Certification date
- Jan 23, 2025
- Last updated
- Jan 23, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 5501011546 | MI | Yes |
Practice location
921 South Beechtree StreetSuite 5
Grand Haven, MI 49417-2385
Phone 616-842-0555 · Fax 616-842-0553
Mailing address
18000 Cove StreetSuite 202
Spring Lake, MI 49456-1383
Phone 616-847-1280 · Fax 616-847-1290
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