| Doctor Name: | DR. CANDACE REBECCA LATSHAW |
| NPI Number: | 1205260783 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | D.P.T. |
| License Number: | 5501016453 |
| Business Practice Address: | 3370 E Jolly Rd Suite B Lansing, MI - 489108552 |
| Business Phone Number: | 5172725133 |
| Business Fax Number: | 5172725138 |
| Mailing Address: | 2671 Woodlake Ct Sw, Apt 1 WYOMING |
| State: | MI |
| Postal Code: | 495194617 |
| Phone Number: | 7349041804 |
| Fax Number: | |
| NPI Enumeration Date: | 09/03/2013 |
| NPI Last Update Date: | 09/03/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 5501016453 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |