Kevin John Mansfield
Kevin John Mansfield is a Physical Therapy Assistant in Grand Rapids, Michigan. Practices as a sole proprietor. Licensed in Michigan.
- Licensed in
- MI
- In the registry since
- 2018
Practice location Address checks out
630 Kenmoor Ave SE Ste 200Grand Rapids, MI 49546-8626
Phone: (800) 379-1600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapy Assistant (primary) | Taxonomy 225200000X · Licence 5502001704 (MI) |
|---|
Record details
| NPI number | 1376012054 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | November 25, 2018 |
| Last updated in NPPES | November 25, 2018 |
| Mailing address | 7586 Ransom St, Zeeland, MI 49464-9506 |
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