Individual
KRISTINA K NOWKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AT, PTA
Contact information
Practice address
208 BRIDGE ST, EAST JORDAN, MI 49727-9318
(989) 996-1098
Mailing address
208 BRIDGE ST, EAST JORDAN, MI 49727-9318
(989) 996-1098
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502004407
MI
2255A2300X
Athletic Trainer
2601000735
MI
Other
Enumeration date
03/13/2012
Last updated
07/28/2020
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