Provider Demographics
NPI:1477565158
Name:BRINKS, JESSE ROBERT (ATC)
Entity Type:Individual
Prefix:MR
First Name:JESSE
Middle Name:ROBERT
Last Name:BRINKS
Suffix:
Gender:M
Credentials:ATC
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Mailing Address - Street 1:3740 GRANT ST
Mailing Address - Street 2:
Mailing Address - City:HUDSONVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:49426-1205
Mailing Address - Country:US
Mailing Address - Phone:616-824-6542
Mailing Address - Fax:616-361-3494
Practice Address - Street 1:4451 HUNSBERGER AVE NE
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49525-6126
Practice Address - Country:US
Practice Address - Phone:616-363-4857
Practice Address - Fax:616-361-3494
Is Sole Proprietor?:No
Enumeration Date:2006-08-12
Last Update Date:2007-07-08
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer