Organization
KINGSLEY PHYSICAL THERAPY, P.L.L.C.
Active
Other names
Kingsley Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
LARS MITCHELL MPT, OCS, CSCS (OWNER/PHYSICAL THERAPIST)
(231) 263-1001
Entity
Organization
Contact information
Practice address
409 W MAIN ST, KINGSLEY, MI 49649-9481
(231) 263-1001
(231) 263-1002
Mailing address
409 W MAIN ST, KINGSLEY, MI 49649-9481
(231) 263-1001
(231) 263-1002
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
5501010646
MI
Other
Enumeration date
05/25/2006
Last updated
12/10/2025
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