Individual
KATHRYN LINDHOLM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2205 ABBOT RD STE B, EAST LANSING, MI 48823-1468
(517) 483-2734
Mailing address
2205 ABBOT RD STE B, EAST LANSING, MI 48823-1468
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502006052
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5502006052
STATE PTA LICENSE
MI
Enumeration date
11/09/2022
Last updated
11/09/2022
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