Healthcare Provider Details

I. General information

NPI: 1932063179
Provider Name (Legal Business Name): KATIE GALOVAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/11/2025
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

248 WASHINGTON AVE
PLAINWELL MI
49080-1345
US

IV. Provider business mailing address

248 WASHINGTON AVE
PLAINWELL MI
49080-1345
US

V. Phone/Fax

Practice location:
  • Phone: 269-203-6515
  • Fax:
Mailing address:
  • Phone: 269-203-6515
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number5501303073
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code2251G0304X
TaxonomyGeriatric Physical Therapist
License Number5501303073
License Number StateMI
# 3
Primary TaxonomyN
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number5501303073
License Number StateMI
# 4
Primary TaxonomyN
Taxonomy Code2251S0007X
TaxonomySports Physical Therapist
License Number5501303073
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: