Kayla Wildman
Physical Therapist in Grand Rapids, MI. Individual provider (NPI-1).
NPI number1154200210
StatusActive
Last updated in NPPESSep 1, 2025
Details
- NPI
- 1154200210
- Entity type
- Individual (NPI-1)
- Name
- Kayla Wildman
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 1, 2025
- Certification date
- Sep 1, 2025
- Last updated
- Sep 1, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | – | – | Yes |
Practice location
235 Wealthy St SeGrand Rapids, MI 49503-5247
Phone 616-840-8000
Mailing address
235 Wealthy St SeGrand Rapids, MI 49503-5247
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