NPI 1508126434

Jon Garrett Elenbaas, PTA

Practitioner Physical Therapy Assistant Hamilton, MI

Practice location

Address: 3491 Lincoln Rd, Hamilton, MI 49419-9512
Phone: (269) 751-2150
Fax: (269) 751-2140
Mailing address: PO Box 1695, Holland, MI 49422-1695

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 5502003533 (MI)

Other Physical Therapy Assistant providers in Michigan →

Registry record

NPI: 1508126434
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 May 2012
Record last updated: 25 May 2012

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.