NPI 1063009587

Kyle Martin Heise, PTDPT

Practitioner Physical Therapist Canton, MI

Practice location

Address: 39933 Ford Rd, Canton, MI 48187-4400
Phone: (248) 733-4325
Fax: (248) 268-7979
Mailing address: 14256 Farmington Rd, Livonia, MI 48154-5423

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 5501019887 (MI)

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Registry record

NPI: 1063009587
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Dec 2020
Record last updated: 21 May 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.