Grody, Stacey Lynne

Grody, Stacey Lynne is an individual health care provider with primary practice located at 1490 East Beltline Ave Se , Grand Rapids MI 49506. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist, which is considered as her primary health care specialty. Grody, Stacey Lynne can be contacted via phone (616) 940-0040.

Contact Information

Primary practice address
1490 East Beltline Ave Se Grand Rapids MI 49506
Phone: (616) 940-0040
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist 225800000X 45840 Michigan

Profile Details

NPI number 1619413481
LBN Legal business name Grody, Stacey Lynne
Credentials CTRS
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2017
Last updated Nov 4th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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