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Contact Information

LINDA M RUSIECKI, DPT
4100 LAKE DR. SE
STE 305
GRAND RAPIDS, MI49546
 Phone: 616-285-1377
 Fax: 616-285-1006
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for LINDA M RUSIECKI · (Female)

NPI # 1043458342
Status Active
Credentials DPT (Doctorate of Physical Therapy)
Entity Individual
Enumeration date 01/26/2009
Last updated 07/17/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 5501014127
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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