Healthcare Provider Details

I. General information

NPI: 1730003971
Provider Name (Legal Business Name): KAITLYN BATCHELOR PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

308 S MAIN ST
CEDAR SPRINGS MI
49319-8925
US

IV. Provider business mailing address

308 S MAIN ST
CEDAR SPRINGS MI
49319-8925
US

V. Phone/Fax

Practice location:
  • Phone: 616-696-6555
  • Fax:
Mailing address:
  • Phone: 616-696-6555
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number5501304682
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: