Individual provider · Type 1 NPI

Mary Lou Hanks, ATC

Other Specialist/Technologist · Grand Rapids, MI

NPI number 1366590499 Active

Practice location

319 Sheldon Blvd SE
Grand Rapids, MI 49503-4515

Call (616) 443-6325 Map

Mailing address

12032 60th Ave
Allendale, MI 49401-9761

Specialties and licenses

TaxonomyCodeLicense
Other Specialist/Technologist Primary 246Z00000XNone listed

Other Specialist/Technologist: General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.

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About NPI 1366590499

Mary Lou Hanks, ATC's National Provider Identifier is 1366590499, issued on Jan 8, 2007. The primary taxonomy on file is Other Specialist/Technologist (246Z00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Jul 8, 2007.