Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNA MAKI, AT, ATC
Active Sole ProprietorJENNA MAKI, AT, ATC is a Sports Medicine (PM&R) healthcare provider located in HOLLAND, Michigan. NPI 1891166690 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (PM&R) · HOLLAND, MI
Registration Details
- NPI Number
- 1891166690
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 19, 2015 (10.859833169696 yrs)
- Last Updated
- Oct 19, 2015
- License
-
2601001590 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
602 MICHIGAN AVEHOLLAND, MI, 494234918Browse MI providers · Browse ZIP 49423
- Phone
- 6163925141
- Primary Specialty
-
Sports Medicine (PM&R)
2081S0010X
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.