| Organization Name: | HUDSONVILLE PHYSICAL THERAPY, INC |
| NPI Number: | 1942619523 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STEVEN ROY BARTZ (PRESIDENT) |
| Mailing Address: | 977 W 72nd St Newaygo |
| State: | MI US |
| Postal Code: | 493379800 |
| Phone Number: | 2316523860 |
| Fax Number: | 2316523861 |
| NPI Enumeration Date: | 08/07/2014 |
| NPI Last Update Date: | 09/02/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | 5501009001 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |