Organization · Type 2 NPI

W.a. Foote Memorial Hospital, Inc

Physical Medicine & Rehabilitation Physician · Jackson, MI

NPI number 1316484512 Active

Practice location

205 N. East Ave
Jackson, MI 49201

Call (517) 841-7843 Map

Fax (517) 841-7419

Mailing address

PO Box 670884
Detroit, MI 48267-0884

Specialties and licenses

Taxonomy	Code	License
Physical Medicine & Rehabilitation Physician Primary	208100000X	1060000044 (MI)

Physical Medicine & Rehabilitation Physician: Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively,…

42 other providers at this address

NPI record

NPI: 1316484512
Entity type: Organization (Type 2)
Issued: Jan 25, 2017
Last updated: Oct 22, 2026
Status: Active

Other names

<unavail>
Henry Ford Allegiance Health · doing business as
Henry Ford Allegiance Health · doing business as
Henry Ford Jackson Health · doing business as

Authorized official

Kimberly Cebalt
Director
(313) 874-6764

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1316484512

W.a. Foote Memorial Hospital, Inc's National Provider Identifier is 1316484512, issued on Jan 25, 2017. The primary taxonomy on file is Physical Medicine & Rehabilitation Physician (208100000X), and the practice location is in Jackson, MI. The record was last updated on Oct 22, 2026.