Healthcare Provider Details

I. General information

NPI: 1831341163
Provider Name (Legal Business Name): JAMIE GLEASON LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JAMIE ARMSTRONG PTA

II. Dates (important events)

Enumeration Date: 10/17/2008
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6443 N DICKINSON AVE
HESPERIA MI
49421-9247
US

IV. Provider business mailing address

6443 N DICKINSON AVE
HESPERIA MI
49421-9247
US

V. Phone/Fax

Practice location:
  • Phone: 231-788-8550
  • Fax:
Mailing address:
  • Phone: 231-788-8550
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number7501014307
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: