West Michigan Myofascial Release LLC

NPI #1932837424 in Jenison, Michigan

Provider Information

NPI Number: 1932837424
Entity Type: Organization
Organization Name: West Michigan Myofascial Release LLC
Primary Specialty: Physical Therapist
Enumeration Date: Aug 11, 2022
Last Updated: Aug 11, 2022

Practice Location

Address: 1368 BALDWIN ST STE B
City: Jenison
State: Michigan
ZIP Code: 49428-8999
Phone: (616) 320-4420

Authorized Official

Name: KATHERINE ANN LEFRID, DPT
Title: OWNER/PHYSICAL THERAPIST
Phone: (321) 278-5906

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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