Kristin Lousise Vanderark
Physical Therapist - Neurology
4118 Kalamazoo Ave Se
Grand Rapids
, Michigan 49508-3605
Kristin Lousise Vanderark
Physical Therapist - Neurology
4118 Kalamazoo Ave Se
Grand Rapids
, Michigan 49508-3605
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About
Features
Specialties
- Physical Therapist - Neurology
Languages spoken
- English
Location
First Address
- Kristin Lousise Vanderark
- 4118 Kalamazoo Ave Se
- Grand Rapids, MI
- Zip : 49508-3605
- Phone :
Second Address
- Kristin Lousise Vanderark
- 4118 Kalamazoo Ave Se
- Grand Rapids, MI
- Zip : 49508-3605
- Phone : (616) 827-5988
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251N0400X | Physical Therapist - Neurology | 5501009527 | MI |
National Provider Identifier
| NPI | 1538662150 |
|---|---|
| Provider Name | Kristin Lousise Vanderark |
| First Address | Grand Rapids, MI 49508-3605 |
| Second Address | Grand Rapids, MI 49508-3605 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/03/2018 |
| Last Update Date | 09/03/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.