MEDICARE: MRS. NATALIE JEANNE KARPOVICH MPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	5501012034	MI

General Provider Information

NPI Number	:	1740245588
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. NATALIE JEANNE KARPOVICH MPT

Provider Business Mailing Address
First Line	:	8911 STONEWALL W.
Second Line	:
City	:	CLARKSTON
State	:	MI
Zip	:	48348-5162
Country	:	US
Telephone Number	:	248-408-7027
Fax Number	:	248-634-5995

Provider Business Practice Location Address
First Line	:	1016 N SAGINAW ST STE B
Second Line	:
City	:	HOLLY
State	:	MI
Zip	:	48442-1379
Country	:	US
Telephone Number	:	248-625-5998
Fax Number	:	248-625-3975

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/17/2006
Last Update Date	:	12/01/2020

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