NPI 1043106982

Kibra La'Tise Vanhorn

Practitioner Rehabilitation Practitioner Benton Harbor, MI

Practice location

Address: 185 E Main St STE 405, Benton Harbor, MI 49022-4432
Phone: (269) 588-1119
Mailing address: 1388 Saint Thomas St Unit B, Benton Harbor, MI 49022-3908

Registered specialties

Rehabilitation Practitioner Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225400000X Licence 1012128 (CA)

Other Rehabilitation Practitioner providers in Michigan →

Registry record

NPI: 1043106982
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Jun 2025
Record last updated: 11 Sep 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.