IndividualActive
Anthony Bouwhuis, CPO
NPI 1710745302 · Prosthetist · Traverse City, MI
Provider details
- NPI number
- 1710745302
- Entity type
- Individual
- Primary specialty
- ProsthetistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- CPO
- Sex
- Male
- Sole proprietor
- No
- License
- CPO04089 (MI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1225 W Front St
Traverse City, MI 49684-2368
Phone: (231) 947-5701
Fax: (231) 947-1370
Approximate (ZIP-level) locationGet directions
Mailing address
1225 W Front St
Traverse City, MI 49684-2368
Registry dates
- Enumerated
- 2024-03-08
- Last updated
- 2024-03-08
- Certified
- 2024-03-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.