Whalio Doctors

NPI 1649557513

Michael William Kinyon, LPTA

Practitioner Physical Therapy Assistant Port Huron, MI

Practice location

Address
1702 Water St, Port Huron, MI 48060-4136
Phone
(810) 966-9102
Fax
(810) 966-9104

Registered specialties

Physical Therapy Assistant Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence L2085107 (MI)

Registry record

NPI
1649557513
Entity type
Individual
Sex (as registered)
Male
NPI issued
7 Nov 2011
Record last updated
10 Nov 2011

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.