Provider Demographics
NPI:1598241481
Name:KUIPERS, BRADLEY JAMES (PT)
Entity type:Individual
Prefix:
First Name:BRADLEY
Middle Name:JAMES
Last Name:KUIPERS
Suffix:
Gender:M
Credentials:PT
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Other - Credentials:
Mailing Address - Street 1:18000 COVE STREET
Mailing Address - Street 2:SUITE 202
Mailing Address - City:SPRING LAKE
Mailing Address - State:MI
Mailing Address - Zip Code:49456-1383
Mailing Address - Country:US
Mailing Address - Phone:616-847-1280
Mailing Address - Fax:616-847-1290
Practice Address - Street 1:890 WASHINGTON AVE
Practice Address - Street 2:STE 130-A
Practice Address - City:HOLLAND
Practice Address - State:MI
Practice Address - Zip Code:49423
Practice Address - Country:US
Practice Address - Phone:616-994-8136
Practice Address - Fax:616-994-8162
Is Sole Proprietor?:No
Enumeration Date:2018-07-14
Last Update Date:2025-05-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI5501009663225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist