Organization · Type 2 NPI

Functional Innovative Therapy, LLC

Physical Therapy Clinic/Center · Grand Rapids, MI

NPI number 1093727802 Active

Practice location

3035 Hoag Ave NE
Grand Rapids, MI 49525-9632

Fax (616) 365-9394

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Clinic/Center Primary 261QP2000X5501012424 (MI)

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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About NPI 1093727802

Functional Innovative Therapy, LLC's National Provider Identifier is 1093727802, issued on Aug 12, 2006. The primary taxonomy on file is Physical Therapy Clinic/Center (261QP2000X), and the practice location is in Grand Rapids, MI. The record was last updated on Apr 22, 2008.