Healthcare Provider Details

I. General information

NPI: 1750455796
Provider Name (Legal Business Name): CHRISTINE LYNN HUHN PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MS. CHRISTINE LYNN WIRTH

II. Dates (important events)

Enumeration Date: 11/20/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3751 S STATE RD
IONIA MI
48846
US

IV. Provider business mailing address

3751 S STATE RD
IONIA MI
48846
US

V. Phone/Fax

Practice location:
  • Phone: 616-522-0066
  • Fax: 616-527-1667
Mailing address:
  • Phone: 616-522-0066
  • Fax: 616-527-1667

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: