FUNCTIONAL INNOVATIVE THERAPY, LLC
Organization (NPI-2)
Active
Clinic/Center, Physical Therapy
Provider Information
- NPI Number
1093727802- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 3035 HOAG AVE NE, GRAND RAPIDS, MI, 495259632
- Phone
- (616) 365-9394
- Fax
- (616) 365-9394
Specialties & Taxonomies
Clinic/Center, Physical Therapy
Primary License: MI #5501012424