Healthcare Provider Details

I. General information

NPI: 1407767288
Provider Name (Legal Business Name): CHRISTOPHER MIDDLETON
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6947 W Q AVE
KALAMAZOO MI
49009-8942
US

IV. Provider business mailing address

6947 W Q AVE
KALAMAZOO MI
49009-8942
US

V. Phone/Fax

Practice location:
  • Phone: 269-447-1560
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: