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Organization

REVOLUTION REHAB LLC

Active
Other names
Revolution Physical Therapy
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TYLER KINCH DPT (OWNER)
(586) 453-5279
Entity
Organization

Contact information

Practice address
4981 PLAINFIELD AVE NE, GRAND RAPIDS, MI 49525-1076
(616) 344-4469
Mailing address
2029 ROGUE RIVER RD NE, BELMONT, MI 49306-9790
(616) 334-4469

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
225200000X
Physical Therapy Assistant
Primary

Other

Enumeration date
09/20/2022
Last updated
02/04/2026
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