Healthcare Provider Details

I. General information

NPI: 1023928983
Provider Name (Legal Business Name): KYLE ROBERT SARTELLE RPSGT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/11/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3101 DISCOVERY DR STE 500
LANSING MI
48910-8627
US

IV. Provider business mailing address

3101 DISCOVERY DR STE 500
LANSING MI
48910-8627
US

V. Phone/Fax

Practice location:
  • Phone: 517-975-3386
  • Fax: 517-975-3390
Mailing address:
  • Phone: 517-975-3386
  • Fax: 517-975-3390

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225500000X
TaxonomyRespiratory/Developmental/Rehabilitative Specialist/Technologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: