Troy Noll
Physical Therapist in Grand Rapids, MI. Individual provider (NPI-1).
NPI number1982105557
StatusActive
Last updated in NPPESFeb 28, 2018
Details
- NPI
- 1982105557
- Entity type
- Individual (NPI-1)
- Name
- Troy Noll
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 28, 2018
- Last updated
- Feb 28, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 5501015274 | MI | Yes |
Practice location
235 Wealthy St SeGrand Rapids, MI 49503-5247
Phone 616-916-1805
Mailing address
235 Wealthy St SeGrand Rapids, MI 49503-5247
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