Mr. Nathan Edward Dykema
Physical Therapist - Orthopedic
730 Chicago Dr
Holland
, Michigan 49423-3004
Mr. Nathan Edward Dykema
Physical Therapist - Orthopedic
730 Chicago Dr
Holland
, Michigan 49423-3004
(616) 796-6782
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About
Features
Specialties
- Physical Therapist - Orthopedic
Languages spoken
- English
Location
First Address
- Mr. Nathan Edward Dykema
- 730 Chicago Dr
- Holland, MI
- Zip : 49423-3004
- Fax : (616) 796-6782
- Phone : (616) 796-6781
Second Address
- Mr. Nathan Edward Dykema
- 730 Chicago Dr
- Holland, MI
- Zip : 49423-3004
- Fax : (616) 796-6782
- Phone : (616) 796-6781
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251X0800X | Physical Therapist - Orthopedic | 5501015768 | MI |
National Provider Identifier
| NPI | 1023385192 |
|---|---|
| Provider Name | Mr. Nathan Edward Dykema |
| First Address | Holland, MI 49423-3004 |
| Second Address | Holland, MI 49423-3004 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/11/2011 |
| Last Update Date | 14/01/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.