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NPI 1053283440

NPI 1053283440 : SKYE VERSCHURE PT, DPT : FLINT, MI

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General NPI Number Information
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    NPI Number           |    1053283440
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    Entity Type          |    Individual 
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    Provider Name        |    SKYE VERSCHURE PT, DPT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/23/2025
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    Last Update Date     |    12/11/2025
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Provider Practice Location Address
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    Address Line         |    4466 W BRISTOL RD 
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    City                 |    FLINT
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    State                |    MI
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    Zip                  |    48507-3170
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    Country              |    US
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    Telephone            |    810-285-8523
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    Fax                  |    810-820-9582
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Provider Business Mailing Address
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    Address Line         |    4466 W BRISTOL RD 
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    City                 |    FLINT
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    State                |    MI
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    Zip                  |    48507-3170
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    Country              |    US
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    Telephone            |    810-285-8523
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    Fax                  |    810-820-9582
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    5501303908
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    License Number State |    MI
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