Healthcare Provider Details

I. General information

NPI: 1144749680
Provider Name (Legal Business Name): KAIJA SEKLINS DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/15/2017
Last Update Date: 03/18/2020
Certification Date: 03/18/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3480 CAPITAL AVE SW
BATTLE CREEK MI
49015-9354
US

IV. Provider business mailing address

303 S MILL ST
CLIO MI
48420-2307
US

V. Phone/Fax

Practice location:
  • Phone: 269-979-3000
  • Fax:
Mailing address:
  • Phone: 810-687-8700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number5501018429
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: