Provider Demographics
NPI:1740618685
Name:TUUK, JANE (CMT)
Entity Type:Individual
Prefix:MRS
First Name:JANE
Middle Name:
Last Name:TUUK
Suffix:
Gender:F
Credentials:CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:940 MONROE AVE NW
Mailing Address - Street 2:SUITE 153
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49503-1456
Mailing Address - Country:US
Mailing Address - Phone:616-340-0543
Mailing Address - Fax:
Practice Address - Street 1:940 MONROE AVE NW
Practice Address - Street 2:SUITE 153
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49503-1456
Practice Address - Country:US
Practice Address - Phone:616-340-0543
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-10-30
Last Update Date:2013-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist