Doctor Name: | KYLE ROBERT LANTERMAN |
NPI Number: | 1215136593 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | 5501013346 |
Business Practice Address: | 5757 Whitmore Lake Rd Suite 900 Brighton, MI - 481161962 |
Business Phone Number: | 8102205793 |
Business Fax Number: | 8102205805 |
Mailing Address: | 5757 Whitmore Lake Rd, Suite 900 BRIGHTON |
State: | MI |
Postal Code: | 481161962 |
Phone Number: | 8102205793 |
Fax Number: | 8102205805 |
NPI Enumeration Date: | 07/16/2007 |
NPI Last Update Date: | 07/16/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5501013346 |
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 |