Healthcare Provider Details

I. General information

NPI: 1013729433
Provider Name (Legal Business Name): EOS PHYSICAL THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/22/2025
Last Update Date: 01/22/2025
Certification Date: 01/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

975 W BROADWAY AVE
MUSKEGON MI
49441-3579
US

IV. Provider business mailing address

2546 MOERLAND DR NW
GRAND RAPIDS MI
49504-2320
US

V. Phone/Fax

Practice location:
  • Phone: 616-482-7394
  • Fax:
Mailing address:
  • Phone: 616-482-7394
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: PETER CURTIS
Title or Position: FOUNDER
Credential: PT
Phone: 616-482-7394