Kirstyn McKenzie Tyler
Individual provider Active NPI Occupational Therapist · Plymouth, MI
NPI 1609620343 · NPPES record last updated Apr 17, 2024
Key facts
- NPI
- 1609620343
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 5201013826 (MI)
- Practice address
- 729 W Ann Arbor TRL
Plymouth, MI 48170-6225 - Phone
- (734) 398-3444
- NPI assigned
- Apr 17, 2024
- 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 |
|---|---|---|---|
| 5201013826 | MI | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5201013826 | MI | Yes |
Addresses
Primary practice location
729 W Ann Arbor TRL
Plymouth, MI 48170-6225
Mailing address
729 W Ann Arbor TRL
Plymouth, MI 48170-6225
Phone (734) 398-3444
Other providers in Plymouth, MI
- Jordan Turpen
- Adell Tutberidze
- Halle Tvedt
- Julie Twomoon
- Tyler Pollack Incorporated
- Marisa Tyler
- Rachel Tyler
- Diane Lynne Tyndell
- Deanna Tyre
- Jennifer Tyrrell
All providers in Plymouth, MI · Occupational 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 Apr 17, 2024. 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.