Nikole Danielle Kutsch
Individual provider Active NPI Physical Therapy Assistant · Spring Arbor, MI
NPI 1124501945 · NPPES record last updated Sep 7, 2018
Key facts
- NPI
- 1124501945
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 5502005682 (MI)
- Practice address
- 151 2ND St
Spring Arbor, MI 49283-9647 - Phone
- (517) 750-1900
- NPI assigned
- Sep 7, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5502005682 | MI | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 5502005682 | MI | Yes |
Addresses
Primary practice location
151 2ND St
Spring Arbor, MI 49283-9647
Mailing address
6160 Scotch Blue St
Jackson, MI 49201-9370
Phone (517) 375-2014
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 225200000X | Medicaid | MI |
Other providers in Spring Arbor, MI
- Hometown Chiropractic Spring Arbor, PLLC
- Mallory Hurley
- Benjamin Roger-Bigger Keaster
- Robert L Kintigh
- Jeanette Kovach
- Alexis Rose Lape
- Dustin Lapp
- Lighthouse of Jackson LLC
- M.P.K. Medical Equipments LTD
- Morgan Marks
All providers in Spring Arbor, MI · Physical Therapy Assistant in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 7, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.