Healthcare Provider Details

I. General information

NPI: 1922015270
Provider Name (Legal Business Name): KARI ANN MARTIN MSPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KARI ANN LATHWELL MSPT

II. Dates (important events)

Enumeration Date: 08/01/2006
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2520 W AIRPORT RD
MOUNT PLEASANT MI
48858-9646
US

IV. Provider business mailing address

2520 W AIRPORT RD
MOUNT PLEASANT MI
48858-9646
US

V. Phone/Fax

Practice location:
  • Phone: 989-600-8237
  • Fax:
Mailing address:
  • Phone: 989-600-8237
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number5501010419
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: