Individual provider · Type 1 NPI

Kibra La'tise Vanhorn

Rehabilitation Practitioner · Benton Harbor, MI

NPI number 1043106982 Active

Practice location

185 E Main St Ste 405
Benton Harbor, MI 49022-4432

Mailing address

1388 Saint Thomas St Unit B
Benton Harbor, MI 49022-3908

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000X1012128 (CA)

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

Another provider at this address

About NPI 1043106982

Kibra La'tise Vanhorn's National Provider Identifier is 1043106982, issued on Jun 17, 2025. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Benton Harbor, MI. The record was last updated on Sep 11, 2025.