MEDICARE: KARI CHAPPELL PT

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
1	225100000X	Physical Therapist	5501302734	MI

General Provider Information

NPI Number	:	1992251342
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARI CHAPPELL PT

Provider Business Mailing Address
First Line	:	120 LOWELL AVE NE
Second Line	:
City	:	GRAND RAPIDS
State	:	MI
Zip	:	49503-3786
Country	:	US
Telephone Number	:	616-745-7153
Fax Number	:

Provider Business Practice Location Address
First Line	:	3669 PLAINFIELD AVE NE
Second Line	:
City	:	GRAND RAPIDS
State	:	MI
Zip	:	49525-2477
Country	:	US
Telephone Number	:	616-202-1872
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/26/2016
Last Update Date	:	01/15/2025

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