Whalio Doctors

NPI 1003332651

Jessica L Walz

Practitioner Student in an Organized Health Care Education/Training Program Manchester, MI

Practice location

Address
9235 Grossman Rd, Manchester, MI 48158
Phone
(313) 350-0812
Mailing address
9235 Grossman Rd, Manchester, MI 48158-8613

Registered specialties (2)

Student in an Organized Health Care Education/Training Program Primary
Student, Health Care Taxonomy 390200000X
Athletic Trainer
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

Registry record

NPI
1003332651
Entity type
Individual
Sex (as registered)
Female
NPI issued
16 Aug 2017
Record last updated
21 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.