Provider Demographics
NPI:1497225585
Name:ALMETER, GREGORY ALLAN
Entity Type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:ALLAN
Last Name:ALMETER
Suffix:
Gender:M
Credentials:
Other - Prefix:DR
Other - First Name:GREGORY
Other - Middle Name:ALLAN
Other - Last Name:ALMETER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DSC PT
Mailing Address - Street 1:2202 JANICE ST
Mailing Address - Street 2:
Mailing Address - City:NILES
Mailing Address - State:MI
Mailing Address - Zip Code:49120-7705
Mailing Address - Country:US
Mailing Address - Phone:269-449-4807
Mailing Address - Fax:
Practice Address - Street 1:905 N FRONT ST
Practice Address - Street 2:
Practice Address - City:NILES
Practice Address - State:MI
Practice Address - Zip Code:49120-1677
Practice Address - Country:US
Practice Address - Phone:269-683-6800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-30
Last Update Date:2018-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501009050225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist