Doctor Name: | STEVEN VANDERKAMP |
NPI Number: | 1205202082 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 5501004811 |
Business Practice Address: | 1310 E Beltline Ave Se Suite 230 Grand Rapids, MI - 495064304 |
Business Phone Number: | 6165268947 |
Business Fax Number: | 6165268952 |
Mailing Address: | 1310 E Beltline Ave Se, Suite 230 GRAND RAPIDS |
State: | MI |
Postal Code: | 495064304 |
Phone Number: | 6165268947 |
Fax Number: | 6165268952 |
NPI Enumeration Date: | 08/17/2015 |
NPI Last Update Date: | 08/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5501004811 |
Healthcare Provider Taxonomy: (Secondary) | N |
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 |