Most Relevant Information
Provider Data
| NPI Number: | 1003282187 |
| Provider Name: | SAMANTHA MICHELLE FLIETSTRA DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 5501017213 |
Most Important Dates
| Enumeration Date: | 08/12/2015 |
| Last Updated: | 08/12/2015 |
Provider Practice Location
2161 LEONARD ST NW
GRAND RAPIDS
MI
495043829
Practice Location Phone/Fax
| Phone: | 6164537715 |
| Fax: |
Provider Mailing Location
2075 RICHVIEW AVE NW
WALKER
MI
495341249
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |