| Provider / Organization | NPI | Date Certified |
|---|---|---|
| COURTNEY LEWIS | 1154196053 | 2024-05-12 |
Courtney Lewis is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1154196053. Registration indicates Courtney Lewis is a provider of services with a specialization in Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Physical Therapist (Physical Therapist, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers)
| Entity Type | Individual |
| Provider Name | Courtney Lewis |
| Practice Office Address | 100 MICHIGAN ST NE GRAND RAPIDS, MI US |
| Practice Office Telephone | 6163919000 |
| Mailing Address | 616 CLINTON AVE NW GRAND RAPIDS, MI 495343518 US |
| Business Telephone | 5743233357 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 2510 Lake Michigan Dr NW | Grand Rapids, MI 495048042 | 6162590408 |
| Code | Practice | License No State |
|---|---|---|
| 225100000X PRIMARY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist Physical Therapist Speech/Occupational/Physical Therapy/Chiropractor Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers |