DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: KELSI ANNE TYSZKO

MEDICARE: KELSI ANNE TYSZKO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1063366524
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELSI ANNE TYSZKO
Provider Business Mailing Address
First Line : 2950 HOLTON RD
Second Line :
City : TWIN LAKE
State : MI
Zip : 49457-9760
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4234 CASCADE RD SE
Second Line :
City : GRAND RAPIDS
State : MI
Zip : 49546-8384
Country : US
Telephone Number : 231-750-2467
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2026
Last Update Date : 02/23/2026

Similar Medicare Providers

1477407732 — MICHELLE BATTJES
Practice Location Address:
4234 CASCADE RD SE STE 3
GRAND RAPIDS, MI
49546-8384
Practice Phone: 888-614-4144
Practice Fax: 888-614-4144
1386598407 — JOSHUA ORR YOUMANS
Practice Location Address:
4234 CASCADE RD SE STE 3
GRAND RAPIDS, MI
49546-8384
Practice Phone: 888-614-4144
Practice Fax:
1659225407 — NICOLE LESLIE-JEAN BURROWS
Practice Location Address:
4234 CASCADE RD SE STE 3
GRAND RAPIDS, MI
49546-8384
Practice Phone: 888-614-4144
Practice Fax:
1215881073 — NOVA TOWNSEND
Practice Location Address:
4234 CASCADE RD SE STE 3
GRAND RAPIDS, MI
49546-8384
Practice Phone: 888-614-4144
Practice Fax: 888-614-4144
1508710385 — GEORGIA GOLDNER
Practice Location Address:
4234 CASCADE RD SE STE 3
GRAND RAPIDS, MI
49546-8384
Practice Phone: 888-614-4144
Practice Fax: 888-614-4144
1518810076 — KASSIE EBERT
Practice Location Address:
4234 CASCADE RD SE STE 3
GRAND RAPIDS, MI
49546-8384
Practice Phone: 888-614-4144
Practice Fax: 888-614-4144

Directions to “ KELSI ANNE TYSZKO ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.