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NPI Code Detail

MEDICARE: KAYLA VAN ACKER DPT

MEDICARE: KAYLA VAN ACKER DPT
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
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1376197889
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAYLA VAN ACKER DPT
Provider Business Mailing Address
First Line : 5191 ROSEWOOD DR
Second Line :
City : TRAVERSE CITY
State : MI
Zip : 49685-9137
Country : US
Telephone Number : 231-946-1979
Fax Number : 231-946-1984
Provider Business Practice Location Address
First Line : 5191 ROSEWOOD DR
Second Line :
City : TRAVERSE CITY
State : MI
Zip : 49685-9137
Country : US
Telephone Number : 231-946-1979
Fax Number : 231-946-1984
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2019
Last Update Date : 02/09/2023

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Directions to “ KAYLA VAN ACKER DPT” Practice Location

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