Organization
MARQUETTE REHABILITATION & SPORTS MEDICINE CENTER
Active
Organization
MARQUETTE REHABILITATION & SPORTS MEDICINE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIPLIN M HARTMAN DPT (OWNER/PHYSICAL THERAPIST)
(906) 362-0013
Entity
Organization
Contact information
Practice address
1455 W FAIR AVE, MARQUETTE, MI 49855-2654
(906) 226-0574
(888) 347-1135
Mailing address
1455 W FAIR AVE, MARQUETTE, MI 49855-2654
(906) 226-0574
(888) 347-1135
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
5501013363
MI
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376771287
—
MI
01
—
DT4588
RAILROAD MEDICARE PTAN
MI
Enumeration date
06/30/2009
Last updated
01/18/2022
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