Myers, Kristen Nicole

Myers, Kristen Nicole is an individual health care provider with primary practice located at 17900 23 Mile Rd 401, Macomb MI 48044-1161. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Myers, Kristen Nicole can be contacted via phone (586) 868-9040.

Contact Information

Primary practice address
17900 23 Mile Rd 401 Macomb MI 48044-1161
Phone: (586) 868-9040
Fax: (586) 868-9013
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 5501011235 Michigan

Profile Details

NPI number 1386855237
LBN Legal business name Myers, Kristen Nicole
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2007
Last updated Dec 23rd, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386855237 NPPES
Michigan MEDICAID 5171931

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