Individual provider · Type 1 NPI

Shad DJ Kuklewski, LPTA

Physical Therapy Assistant · Grosse Pointe Farms, MI

NPI number 1639756000 Active

Practice location

159 Kercheval Ave
Grosse Pointe Farms, MI 48236-3610

Call (313) 640-2200 Map

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X5502000445 (MI)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1639756000

Shad DJ Kuklewski, LPTA's National Provider Identifier is 1639756000, issued on Mar 24, 2021. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Grosse Pointe Farms, MI. The record was last updated on Mar 24, 2021.