Spine Dynamics Physical Therapy Llc
LBN: Spine Dynamics Physical Therapy Llc
Spine Dynamics Physical Therapy Llc is an health care organization with primary practice located at 660 Cascade West Pkwy Se Ste 25 , Grand Rapids MI 49546-2142. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty.
Spine Dynamics Physical Therapy Llc can be contacted via phone (616) 229-4500, or through Canos-Torres, Alicia via phone (616) 229-4500.
Contact Information
Primary practice address
660 Cascade West Pkwy Se Ste 25
Grand Rapids MI 49546-2142
Phone: (616) 229-4500
Fax: (616) 228-9828
Website:
Authorized official contact:
Name: Canos-Torres, Alicia Physical Therapist (PT)
Phone: (616) 229-4500
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 5501006157 | Michigan |
Profile Details
| NPI number | 1487198677 |
|---|---|
| LBN Legal business name | Spine Dynamics Physical Therapy Llc |
| DBA Doing business as | |
| Authorized official | Canos-Torres, Alicia Physical Therapist (PT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 7th, 2016 |
| Last updated | Jun 20th, 2024 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487198677 | NPPES |
| Michigan | Other | 5501006157 | STATE LICENSE |
| Michigan | MEDICAID | 1700832805 | STATE LICENSE |
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