NPI 1083376602

Jeffrey Travis King, DPT

Practitioner Physical Therapist East Lansing, MI

Practice location

Address: 4660 S Hagadorn Rd STE 160, East Lansing, MI 48823-6804
Phone: (800) 974-4378
Fax: (630) 515-1536
Mailing address: 24014 W Renwick Rd Unit 206, Plainfield, IL 60544-8711

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 15634 (WI)

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Registry record

NPI: 1083376602
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Oct 2021
Record last updated: 26 Oct 2022

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.