Healthcare Provider Details

I. General information

NPI: 1053443044
Provider Name (Legal Business Name): ARUNKUMAR KESAVAN PT, DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/12/2007
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2362 PINE RUN CT SE
GRAND RAPIDS MI
49546-7951
US

IV. Provider business mailing address

2362 PINE RUN CT SE
GRAND RAPIDS MI
49546-7951
US

V. Phone/Fax

Practice location:
  • Phone: 616-785-4154
  • Fax: 616-855-1945
Mailing address:
  • Phone: 616-635-7728
  • Fax: 616-719-1932

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number05008953A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number5501009157
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: