Healthcare Provider Details

I. General information

NPI: 1265927032
Provider Name (Legal Business Name): QUINN LURVEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: QUINN FOLEY

II. Dates (important events)

Enumeration Date: 06/25/2018
Last Update Date: 07/29/2025
Certification Date: 05/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7169 KALAMAZOO AVE SE SUITE 200
CALEDONIA MI
49316
US

IV. Provider business mailing address

7169 KALAMAZOO AVE SE SUITE 200
CALEDONIA MI
49316
US

V. Phone/Fax

Practice location:
  • Phone: 616-827-3010
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number5501018400
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: