Nancy McKeon Dubuc, PHYSICAL THERAPIST
Individual provider Active NPI Physical Therapist · Grand Haven, MI
NPI 1407359342 · NPPES record last updated Mar 16, 2018
Key facts
- NPI
- 1407359342
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 5501009084 (MI)
- Practice address
- 900 S Beacon Blvd
Grand Haven, MI 49417-2146 - Phone
- (616) 846-1850
- NPI assigned
- Mar 16, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501009084 | MI | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501009084 | MI | Yes |
Addresses
Primary practice location
900 S Beacon Blvd
Grand Haven, MI 49417-2146
Mailing address
14686 Ammeraal Ave
Grand Haven, MI 49417-9520
Phone (616) 402-9168
Other providers in Grand Haven, MI
- Mary Elizabeth Dody Warnock
- Barbara Anita Doorlag
- Douglas T. Johnson & Associates, Inc.
- Terrance L. Draeger
- Jeremy Drake
- Hunter Bradley Dulaney
- Courtney Lyn Dumouchelle
- Frank Young Duncan III
- Dunegrass Counseling
- Brittany Leigh Dykstra
All providers in Grand Haven, MI · Physical Therapist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 16, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.