Krista Kay Gussert
Individual provider Active NPI Physical Therapist · Kingsford, MI
NPI 1346719655 · NPPES record last updated Nov 15, 2018
Key facts
- NPI
- 1346719655
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 5501004454 (MI)
- Practice address
- 1225 Woodward Ave
Kingsford, MI 49802-4312 - Phone
- (906) 774-4805
- Fax
- (906) 774-1901
- NPI assigned
- Nov 15, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 5501004454 | MI | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501004454 | MI | Yes |
Addresses
Primary practice location
1225 Woodward Ave
Kingsford, MI 49802-4312
Mailing address
1225 Woodward Ave
Kingsford, MI 49802-4312
Phone (906) 774-4805
Other providers in Kingsford, MI
- Sarah G Griffin
- Jean Frances Groeneveld
- Guardian Flight LLC
- Luanne Guiliani
- Sara Marie Gunville
- Alexander M Hall
- Halsa Chiropractic PLLC
- Caleb Harrington
- Cynthia Jean Harrington
- Kathleen Hart
All providers in Kingsford, MI · Physical Therapist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 15, 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.