Provider Demographics
NPI:1023326717
Name:NEPHEW SERVICES INC
Entity type:Organization
Organization Name:NEPHEW SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:MEISTE
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:616-796-9391
Mailing Address - Street 1:91 DOUGLAS AVE STE 140
Mailing Address - Street 2:
Mailing Address - City:HOLLAND
Mailing Address - State:MI
Mailing Address - Zip Code:49424-2183
Mailing Address - Country:US
Mailing Address - Phone:616-796-9391
Mailing Address - Fax:888-714-4474
Practice Address - Street 1:91 DOUGLAS AVE STE 140
Practice Address - Street 2:
Practice Address - City:HOLLAND
Practice Address - State:MI
Practice Address - Zip Code:49424-2183
Practice Address - Country:US
Practice Address - Phone:616-796-9391
Practice Address - Fax:888-714-4474
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-16
Last Update Date:2010-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501010233225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty