Katherine Kaye Farrimond, DPT

Individual provider Active NPI Physical Therapist · Spring Lake, MI

NPI 1588073746 · NPPES record last updated Aug 12, 2014

Key facts

NPI
1588073746
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
5501016459 (MI)
Practice address
18000 Cove St Ste 202
Spring Lake, MI 49456-1383
Phone
(616) 847-1280
NPI assigned
Aug 12, 2014
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)
Yes

State licenses

LicenseStateTypeSpecialty
5501016459MIMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501016459 MI Yes

Addresses

Primary practice location

18000 Cove St Ste 202
Spring Lake, MI 49456-1383

Mailing address

18000 Cove St Ste 202
Spring Lake, MI 49456-1383

Other providers in Spring Lake, MI

All providers in Spring Lake, MI · Physical Therapist in Michigan

Sources for this page

Verify at the official NPI Registry.