Jon Garrett Elenbaas, PTA

Physical Therapy Assistant · Hamilton, MI

Individual Active NPI

NPI number 1508126434

Practice location

3491 Lincoln Rd
Hamilton, MI 49419-9512
Phone
(269) 751-2150
Fax
(269) 751-2140

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NPI record

NPI
1508126434
Entity type
Individual (Type 1)
Enumeration date
May 25, 2012
Last updated
May 25, 2012
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X 5502003533 MI

Mailing address

PO Box 1695
Holland, MI 49422-1695
Phone
(616) 392-3197
Fax
(616) 392-7959

About Jon Elenbaas

Jon Garrett Elenbaas, PTA is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 3491 Lincoln Rd, Hamilton, MI 49419-9512. The NPI number 1508126434 was assigned on May 25, 2012 and the record was last updated on May 25, 2012.

Jon Elenbaas lists a license in the registry: #5502003533 (MI) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jon Garrett Elenbaas, PTA?

The NPI number is 1508126434.

What is the phone number of Jon Elenbaas?

The phone number listed for the practice location is (269) 751-2150.

Where is Jon Elenbaas located?

3491 Lincoln Rd, Hamilton, MI 49419-9512.

What is the taxonomy code for Jon Elenbaas?

The primary taxonomy code is 225200000X – Physical Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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