Healthcare Provider Details

I. General information

NPI: 1013120724
Provider Name (Legal Business Name): RHONDA B LAMMERS P.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/08/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

128 AMES ST
ELK RAPIDS MI
49629-9739
US

IV. Provider business mailing address

128 AMES ST
ELK RAPIDS MI
49629-9739
US

V. Phone/Fax

Practice location:
  • Phone: 231-264-6682
  • Fax: 231-264-9150
Mailing address:
  • Phone: 231-264-6682
  • Fax: 231-264-9150

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number5501003682
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: