Doctor Name: | KARLA DETTLING |
NPI Number: | 1710318126 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 5501012390 |
Business Practice Address: | 4911 W St Joe Hwy Ste 101 Lansing, MI - 489174088 |
Business Phone Number: | 5178536800 |
Business Fax Number: | |
Mailing Address: | 4911 W St Joe Hwy Ste 101, LANSING |
State: | MI |
Postal Code: | 489174088 |
Phone Number: | 5178536800 |
Fax Number: | |
NPI Enumeration Date: | 12/11/2013 |
NPI Last Update Date: | 12/11/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5501012390 |
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 |