Healthcare Provider Details

I. General information

NPI: 1144146317
Provider Name (Legal Business Name): RESILIENCE OSTEOPATHY P.L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 MARCELL DR NE STE C
ROCKFORD MI
49341-1362
US

IV. Provider business mailing address

120 MARCELL DR NE STE C
ROCKFORD MI
49341-1362
US

V. Phone/Fax

Practice location:
  • Phone: 231-878-6194
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code204D00000X
TaxonomyNeuromusculoskeletal Medicine & OMM Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. KYLE G MCDONALD
Title or Position: PHYSICIAN
Credential: DO
Phone: 231-878-6194