Provider Demographics
NPI:1417004722
Name:CLUTE, JAMIE LYNN (PTA)
Entity Type:Individual
Prefix:MRS
First Name:JAMIE
Middle Name:LYNN
Last Name:CLUTE
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
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Mailing Address - Street 1:3545 S WISE RD
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:MI
Mailing Address - Zip Code:48858-8100
Mailing Address - Country:US
Mailing Address - Phone:989-779-7461
Mailing Address - Fax:
Practice Address - Street 1:602 BEECH ST
Practice Address - Street 2:
Practice Address - City:CLARE
Practice Address - State:MI
Practice Address - Zip Code:48617-1466
Practice Address - Country:US
Practice Address - Phone:989-802-5167
Practice Address - Fax:989-802-5143
Is Sole Proprietor?:No
Enumeration Date:2007-01-05
Last Update Date:2013-04-30
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant