Shoreline Sport & Spine Pllc
NPI #1225040694 in Spring Lake, Michigan
Provider Information
- NPI Number
- 1225040694
- Entity Type
- Organization
- Organization Name
- Shoreline Sport & Spine Pllc
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Aug 13, 2006
- Last Updated
- Sep 22, 2025
Practice Location
- Address
- 18000 COVE STREET
- Address 2
- SUITE 202
- City
- Spring Lake
- State
- Michigan
- ZIP Code
- 49456
- Phone
- (616) 847-1280
Authorized Official
- Name
- MR. MARTIN J SYTSEMA, OMPT, FAAOMPT, CIMT
- Title
- DIRECTOR OF CLINICAL OPERATIONS
- Phone
- (616) 847-1280
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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