IndividualActive
Jodie Robertson
NPI 1699385740 · Prosthetist · Grand Rapids, MI
Provider details
- NPI number
- 1699385740
- Entity type
- Individual
- Primary specialty
- ProsthetistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2701139733 (MI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
3720 Eastern Se
Grand Rapids, MI 49508
Phone: (616) 329-4101
Approximate (ZIP-level) locationGet directions
Mailing address
2521 Brookside Dr Se
Grand Rapids, MI 49507-3590
Registry dates
- Enumerated
- 2020-08-04
- Last updated
- 2020-08-04
- Certified
- 2020-08-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.