Provider Demographics
NPI:1356215115
Name:GR ACUTHERAPY
Entity type:Organization
Organization Name:GR ACUTHERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTIAN
Authorized Official - Middle Name:HENRY
Authorized Official - Last Name:MULLETT
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:616-438-8881
Mailing Address - Street 1:13206 WOODROW AVE NW
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49534-1054
Mailing Address - Country:US
Mailing Address - Phone:616-438-8881
Mailing Address - Fax:
Practice Address - Street 1:3167 KALAMAZOO AVE SE
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49508-1475
Practice Address - Country:US
Practice Address - Phone:616-438-8881
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-03
Last Update Date:2025-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service