Individual provider · Type 1 NPI

Jaimie Lee Coulombe, PT, DPT

Pediatric Physical Therapist · Grand Rapids, MI

NPI number 1316285190 Active

Practice location

35 Michigan St NE # 4128
Grand Rapids, MI 49503-2514

Call (616) 267-2727 Map

Mailing address

3052 Creek Way Ct SE
Kentwood, MI 49512-9163

Other practice locations

11105 Knott Ave, Suite A, Cypress, CA 90630-5137 · (714) 893-7399

Specialties and licenses

Taxonomy	Code	License
Physical Therapist	225100000X	PT39626 (CA)
Physical Therapist	225100000X	5501018246 (MI)
Pediatric Physical Therapist Primary	2251P0200X	PT 39626 (CA)

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

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About NPI 1316285190

Jaimie Lee Coulombe, PT, DPT's National Provider Identifier is 1316285190, issued on Jan 29, 2013. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Grand Rapids, MI. The record was last updated on Mar 17, 2018.