NPI 1699385740

Jodie Lynn Robertson

Practitioner Prosthetist Grand Rapids, MI

Practice location

Address: 3720 Eastern SE, Grand Rapids, MI 49508
Phone: (616) 329-4101
Mailing address: 2521 Brookside Dr SE, Grand Rapids, MI 49507-3590

Registered specialties

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence 2701139733 (MI)

Other Prosthetist providers in Michigan →

Registry record

NPI: 1699385740
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Aug 2020
Record last updated: 4 Aug 2020

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.