Individual
KATIE NICOLE VISHEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21260 MACK AVE, GROSSE POINTE WOODS, MI 48236-1046
(313) 343-0600
Mailing address
1544 ALINE DR, GROSSE POINTE WOODS, MI 48236-1002
(313) 404-9867
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502005975
MI
Other
Enumeration date
03/03/2025
Last updated
03/03/2025
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