Anneka Boomsma, | |
7169 Kalamazoo Ave Se Ste 200, Caledonia, MI 49316-8146 | |
(616) 827-3010 | |
Not Available |
Full Name | Anneka Boomsma |
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Gender | Female |
Speciality | Physical Therapist |
Location | 7169 Kalamazoo Ave Se Ste 200, Caledonia, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598461352 | NPI | - | NPPES |
5501302474 | Other | MI | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 5501302474 (Michigan) | Secondary |
225100000X | Physical Therapist | 14943 (Tennessee) | Primary |
Provider Name | Hulst Jepsen Physical Therapy Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1609957760 PECOS PAC ID: 8325033285 Enrollment ID: O20060206000755 |
Mailing Address | Practice Location Address |
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Anneka Boomsma, Po Box 30516, Dept 5300, Lansing, MI 48909 Ph: () - | Anneka Boomsma, 7169 Kalamazoo Ave Se Ste 200, Caledonia, MI 49316-8146 Ph: (616) 827-3010 |
James Clark, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7169 Kalamazoo Ave Se Ste 200, Caledonia, MI 49316 Phone: 616-827-3010 | |
Cathryn Alaine Fischer, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7169 Kalamazoo Ave Se, Suite 200, Caledonia, MI 49316 Phone: 616-827-3010 | |
Mr. Christopher Patrick Mccloskey, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 9028 N Rodgers Ct Se, Suite J, Caledonia, MI 49316 Phone: 616-891-0600 Fax: 616-891-0660 | |
Ryan John Buteyn, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 6201 68th St Se, Caledonia, MI 49316 Phone: 231-291-8020 | |
Alicia Adams, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1690 Sweet Grass Dr Se, Caledonia, MI 49316 Phone: 616-485-7587 | |
Jessica Lee Buikema, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 9028 N Rodgers Dr, Suite J, Caledonia, MI 49316 Phone: 616-891-0600 Fax: 616-456-8208 | |
Briana Virkstis, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7169 Kalamazoo Ave Se Ste 200, Caledonia, MI 49316 Phone: 616-265-2414 |