Individual
MR. THOMAS C KACKMEISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
10909 HANNAN RD, ROMULUS, MI 48174-1383
(734) 893-1000
(734) 941-7522
Mailing address
1114 OAKMONT DR, TEMPERANCE, MI 48182-9102
(734) 224-0442
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502002145
MI
Other
Enumeration date
06/10/2013
Last updated
06/10/2013
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