| Organization Name: | MARQUETTE ORTHOPEDIC AND SPORTS THERAPY INC. |
| NPI Number: | 1225154834 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KURT ROBERT KERRY (PRESIDENT P.T./CLINIC OWNER) |
| Mailing Address: | 1007 Harbor Hills Dr Suite A Marquette |
| State: | MI US |
| Postal Code: | 498558859 |
| Phone Number: | 9062255585 |
| Fax Number: | 9062255990 |
| NPI Enumeration Date: | 03/22/2007 |
| NPI Last Update Date: | 02/07/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 5501005513 |
| 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 |