Most Relevant Information
Provider Data
| NPI Number: | 1003318783 |
| Provider Name: | KATHARINE LIND THOMPSON PT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 550102909 |
Most Important Dates
| Enumeration Date: | 03/08/2018 |
| Last Updated: | 03/08/2018 |
Provider Practice Location
200 JEFFERSON AVE SE
GRAND RAPIDS
MI
495034502
Practice Location Phone/Fax
| Phone: | 6166856264 |
| Fax: |
Provider Mailing Location
7038 MAGNOLIA DR
JENISON
MI
494288725
Provider Mailing Phone/Fax
| Phone: | 6166856264 |
| Fax: |