Organization · Type 2 NPI
Brightwave Pain Therapy, PC
Pain Clinic/Center · Grand Rapids, MI
NPI number
1962062703
Active
Practice location
751 Kenmoor Ave SE
Grand Rapids, MI 49546-2388
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pain Clinic/Center Primary | 261QP3300X | None listed |
Pain Clinic/Center: Definition to come...
5 other providers at this address
- Internal Medicine and Pediatrics of West Michigan, LLCInternal Medicine Physician Grand Rapids, MI NPI 1437593589
- Catherine M. Lisenbee, M.A., CCC-AAssistive Technology Practitioner Audiologist Grand Rapids, MI NPI 1114967809
- Defoe James Edgerle, DDSGeneral Practice Dentistry Grand Rapids, MI NPI 1174684120
- Ravikumar K. Shukla, RPTPhysical Therapist Grand Rapids, MI NPI 1356677835
- Roseann Doney, ATC, PTAPhysical Therapy Assistant Grand Rapids, MI NPI 1134120959
Other pain clinic/center providers in Grand Rapids
About NPI 1962062703
Brightwave Pain Therapy, PC's National Provider Identifier is 1962062703, issued on Jun 14, 2019. The primary taxonomy on file is Pain Clinic/Center (261QP3300X), and the practice location is in Grand Rapids, MI. The record was last updated on Jun 14, 2019.