Healthcare Provider Details

I. General information

NPI: 1558278499
Provider Name (Legal Business Name): ERIC DAVID WARRINER DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2770 E BELTLINE AVE NE
GRAND RAPIDS MI
49525-8614
US

IV. Provider business mailing address

3318 HARVEY ST APT A203
HUDSONVILLE MI
49426-0170
US

V. Phone/Fax

Practice location:
  • Phone: 616-267-4050
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number5501304695
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: