Provider Demographics
NPI:1598364846
Name:BELOTE, JENNA (DPT)
Entity type:Individual
Prefix:
First Name:JENNA
Middle Name:
Last Name:BELOTE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:JENNA
Other - Middle Name:
Other - Last Name:SCHRA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:12723 N BELLWOOD DR STE 10
Mailing Address - Street 2:
Mailing Address - City:HOLLAND
Mailing Address - State:MI
Mailing Address - Zip Code:49424-7275
Mailing Address - Country:US
Mailing Address - Phone:616-796-9391
Mailing Address - Fax:888-714-4474
Practice Address - Street 1:7559 36TH AVE
Practice Address - Street 2:
Practice Address - City:HUDSONVILLE
Practice Address - State:MI
Practice Address - Zip Code:49426-7639
Practice Address - Country:US
Practice Address - Phone:616-369-0440
Practice Address - Fax:616-369-0440
Is Sole Proprietor?:No
Enumeration Date:2020-10-19
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist