| Thomas Alex Bosch, PT, DPT | |
|
890 Washington Ave Ste 130-a, Holland, MI 49423-7731 | |
| (616) 994-8136 | |
| (616) 994-8162 |
| Full Name | Thomas Alex Bosch |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 890 Washington Ave Ste 130-a, Holland, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851175525 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 5501302730 (Michigan) | Primary |
| Provider Name | Shoreline Sport & Spine Pc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1225040694 PECOS PAC ID: 4284673575 Enrollment ID: O20050426001319 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Alex Bosch, PT, DPT 18000 Cove St Ste 202, Spring Lake, MI 49456-1383 Ph: (616) 847-1280 | Thomas Alex Bosch, PT, DPT 890 Washington Ave Ste 130-a, Holland, MI 49423-7731 Ph: (616) 994-8136 |
Nicholas Russell, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 602 Michigan Ave, Holland, MI 49423 Phone: 616-392-5141 | |
Nephew Services Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 91 Douglas Ave Ste 140, Holland, MI 49424 Phone: 616-796-9391 Fax: 888-714-4474 | |
Mr. Nathan Edward Dykema, D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 730 Chicago Dr, Holland, MI 49423 Phone: 616-796-6781 Fax: 616-796-6782 | |
Michelle Van Oss, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 854 Washington Ave Ste 200, Holland, MI 49423 Phone: 616-392-9430 Fax: 616-392-5257 | |
Mrs. Alison Pothoven, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 750 E 40th St, Holland, MI 49423 Phone: 616-566-5683 | |
Christy Marie Olgine, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 601 Michigan Ave, Suite 220, Holland, MI 49423 Phone: 616-355-4284 Fax: 616-355-4285 | |
Aaron Huizenga, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3290 N Wellness Dr, Holland, MI 49424 Phone: 616-294-4066 |