Healthcare Provider Details

I. General information

NPI: 1972417426
Provider Name (Legal Business Name): JULIE KAY PLUMMER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15760 S. BRONSON AVE
BIG RAPIDS MI
49307
US

IV. Provider business mailing address

410 TALL GRASS DR
CEDAR SPRINGS MI
49319-8696
US

V. Phone/Fax

Practice location:
  • Phone: 616-608-2441
  • Fax:
Mailing address:
  • Phone: 616-608-2441
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: