TRAVIS JOHN DEKRUYTER NPI 1144677436

NPI Information

NPI: 1144677436
Provider Name: TRAVIS JOHN DEKRUYTER
Classification: Rehabilitation Practitioner - 225400000X
Entity Type: Individual
Address:
22818 LODGE LN
DEARBORN, MI
ZIP 48128
Phone: (313) 600-8124
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Travis John Dekruyter is a rehabilitation practitioner in Dearborn, MI. The provider is a health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. Travis John Dekruyter NPI is 1144677436. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

22818 LODGE LN
DEARBORN, MI
ZIP 48128-811
Phone: (313) 600-8124

The enumeration date for this NPI number is 5/17/2016 and was last updated on 5/17/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225400000X	Rehabilitation Practitioner				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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