Kayleigh Winling, PTA

Individual provider Active NPI Physical Therapy Assistant · Gladstone, MI

NPI 1346790656 · NPPES record last updated Oct 11, 2016

Key facts

NPI
1346790656
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
5502004044 (MI)
Practice address
2001 Minneapolis Ave Ste C
Gladstone, MI 49837-2060
Phone
(906) 428-3085
Fax
(906) 428-3086
NPI assigned
Oct 11, 2016
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

LicenseStateTypeSpecialty
5502004044MIMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 5502004044 MI Yes

Addresses

Primary practice location

2001 Minneapolis Ave Ste C
Gladstone, MI 49837-2060

Mailing address

2001 Minneapolis Ave Ste C
Gladstone, MI 49837-2060
Phone (906) 428-3085

Other providers in Gladstone, MI

All providers in Gladstone, MI · Physical Therapy Assistant in Michigan

Sources for this page

Verify at the official NPI Registry.