Healthcare Provider Details

I. General information

NPI: 1851010078
Provider Name (Legal Business Name): JOYCE MIER DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/23/2022
Last Update Date: 07/10/2023
Certification Date: 07/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9028 N RODGERS DR SUITE J
CALEDONIA MI
49316
US

IV. Provider business mailing address

3755 REMEMBRANCE RD NW SUITE 2
GRAND RAPIDS MI
49534
US

V. Phone/Fax

Practice location:
  • Phone: 616-891-0600
  • Fax:
Mailing address:
  • Phone: 502-576-3282
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1605524
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: