Individual
KAYLA MAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
18000 COVE ST, SUITE 202, SPRING LAKE, MI 49456-1299
(616) 847-1280
(616) 847-1290
Mailing address
18000 COVE ST, SUITE 202, SPRING LAKE, MI 49456-1299
(616) 847-1280
(616) 847-1290
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502004298
MI
Other
Enumeration date
12/26/2014
Last updated
01/23/2017
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