IndividualActive
Amanda Ralston
NPI 1386964567 · Specialist · Grand Rapids, MI
Provider details
- NPI number
- 1386964567
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
1490 E Beltline Ave Se
Grand Rapids, MI 49506-4336
Phone: (616) 940-0040
Approximate (ZIP-level) locationGet directions
Mailing address
1490 E Beltline Ave Se
Grand Rapids, MI 49506-4336
Registry dates
- Enumerated
- 2010-06-10
- Last updated
- 2010-06-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.