Zachary Kucharek
Physical Therapist in Grand Rapids, MI. Individual provider (NPI-1).
NPI number1861985244
StatusActive
Last updated in NPPESFeb 8, 2024
Details
- NPI
- 1861985244
- Entity type
- Individual (NPI-1)
- Name
- Zachary Kucharek
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 11, 2018
- Certification date
- Feb 8, 2024
- Last updated
- Feb 8, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 5501018673 | MI | Yes |
Practice location
3097 29th St Se Ste BGrand Rapids, MI 49512-1726
Phone 616-741-2232
Mailing address
Po Box 561564Denver, CO 80256-1564
Phone 616-741-2232
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