Individual
JACLYN L KANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AT, ATC
Contact information
Practice address
5656 W US HIGHWAY 10, LUDINGTON, MI 49431-2454
(231) 361-1014
(231) 316-1084
Mailing address
PO BOX 1847, MUSKEGON, MI 49443-1847
(231) 727-4444
(231) 728-4789
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2601000483
MI
Other
Enumeration date
03/16/2017
Last updated
07/25/2019
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