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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JULIE CLARK, MSPT

Active Sole Proprietor

JULIE CLARK, MSPT is a Physical Therapy Assistant healthcare provider located in GRAND HAVEN, Michigan. NPI 1104328442 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · GRAND HAVEN, MI

Registration Details

NPI Number
1104328442
Provider Type
Individual
Gender
Female
NPI Issued
Mar 2, 2018 (8.4127678295391 yrs)
Last Updated
Mar 17, 2018
License
5501009461 (MI)
Sole Proprietor
Yes

Practice Information

Address
14929 SANDSTONE PL
GRAND HAVEN, MI, 494177947
Browse MI providers · Browse ZIP 49417
Phone
2313279578
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in GRAND HAVEN, MI

Name Credential NPI
MR. LINK A DEPHOUSE PT 1710071360
MR. BHASKAR REDDY POREDDY PT 1083731939
JASON A. KOOI PT 1831218155
MICHAEL T RADOMSKI PT 1194999441
MRS. NICHOLE MARIE EICKHOLT MSPT 1275773111
MS. STEPHANIE OSBORN DPT 1740514124
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.