Organization · Type 2 NPI

W. A. Foote Memorial Hospital, Inc

Physical Therapy Clinic/Center · Jackson, MI

NPI number 1073017935 Active

Practice location

1100 E Michigan Ave Ste 102
Jackson, MI 49201-1800

Call (517) 205-4908 Map

Fax (517) 205-7233

Mailing address

PO Box 67000 Dept 272801
Detroit, MI 48267-0001

Specialties and licenses

Taxonomy	Code	License
Physical Therapy Clinic/Center Primary	261QP2000X	None listed

Physical Therapy Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care p…

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NPI record

NPI: 1073017935
Entity type: Organization (Type 2)
Issued: Mar 23, 2018
Last updated: Mar 23, 2018
Status: Active

Other names

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Henry Ford Allegiance Health · doing business as
Henry Ford Allegiance Health · doing business as

Authorized official

Kevin Leonard
VP Finance
(517) 205-7843

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1073017935

W. A. Foote Memorial Hospital, Inc's National Provider Identifier is 1073017935, issued on Mar 23, 2018. The primary taxonomy on file is Physical Therapy Clinic/Center (261QP2000X), and the practice location is in Jackson, MI. The record was last updated on Mar 23, 2018.