Minkkinen, Tella Katarina

Minkkinen, Tella Katarina is an individual health care provider with primary practice located at 4100 Lake Dr Se Suite 305, Grand Rapids MI 49546. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Minkkinen, Tella Katarina can be contacted via phone (616) 285-1377.

Contact Information

Primary practice address
4100 Lake Dr Se Suite 305 Grand Rapids MI 49546
Phone: (616) 285-1377
Fax: (616) 285-1006
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 5501008693 Michigan

Profile Details

NPI number 1003860404
LBN Legal business name Minkkinen, Tella Katarina
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Nov 19th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003860404 NPPES
Michigan Other 650D114710 BCBSM
Michigan Other P00254070 BCBSM

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