Most Relevant Information
Provider Data
| NPI Number: | 1003318668 |
| Provider Name: | JENNIFER LYNNE TAYLOR DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/28/2018 |
| Last Updated: | 02/28/2018 |
Provider Practice Location
235 WEALTHY ST SE
GRAND RAPIDS
MI
495035247
Practice Location Phone/Fax
| Phone: | 6162620299 |
| Fax: |
Provider Mailing Location
15947 32ND AVE
COOPERSVILLE
MI
494049636
Provider Mailing Phone/Fax
| Phone: | 6162620299 |
| Fax: |