Doctor Name: | TELLA KATARINA MINKKINEN |
NPI Number: | 1003860404 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 5501008693 |
Business Practice Address: | 4100 Lake Dr Se Suite 305 Grand Rapids, MI - 49546 |
Business Phone Number: | 6162851377 |
Business Fax Number: | 6162851006 |
Mailing Address: | 61 Commerce Ave Sw, GRAND RAPIDS |
State: | MI |
Postal Code: | 495034124 |
Phone Number: | 6169400660 |
Fax Number: | 6169401965 |
NPI Enumeration Date: | 05/20/2006 |
NPI Last Update Date: | 11/19/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5501008693 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |