Individual
KAITLYN VIAENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20905 E 12 MILE RD STE 200, ROSEVILLE, MI 48066-6501
(586) 204-0070
(586) 204-0080
Mailing address
33900 HARPER AVE STE 104, CLINTON TWP, MI 48035-4258
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501304103
MI
Other
Enumeration date
09/03/2025
Last updated
09/08/2025
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