Individual
NIKOLE DANIELLE KUTSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
151 2ND ST, SPRING ARBOR, MI 49283-9647
(517) 750-1900
Mailing address
6160 SCOTCH BLUE ST, JACKSON, MI 49201-9370
(517) 375-2014
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502005682
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
225200000X
—
MI
Enumeration date
09/07/2018
Last updated
09/07/2018
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