KRISTIN LOUSISE VANDERARK NPI 1538662150

NPI Information

  • NPI: 1538662150
  • Provider Name: KRISTIN LOUSISE VANDERARK
  • Classification: Physical Therapist - 2251N0400X
  • Specialization: Neurology
  • Entity Type: Individual
  • Address: 4118 KALAMAZOO AVE SE
    GRAND RAPIDS, MI
    ZIP 49508
  • Phone: (616) 827-5988

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NPI Details

Kristin Lousise Vanderark is a neurology physical therapist in Grand Rapids, MI. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Neurologic Physical Therapy, who has demonstrated specialized knowledge and skill in neuroanatomy and neurophysiology, including knowledge of central, peripheral, and autonomic nervous systems in populations with and without neurologic conditions; motor control and movement sciences in populations with and without neurologic conditions; behavioral sciences, including psychology and neuropsychology, and psychiatry; and medical management and pharmacology. Kristin Lousise Vanderark NPI is 1538662150. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4118 KALAMAZOO AVE SE
GRAND RAPIDS, MI
ZIP 49508-605
Phone: (616) 827-5988

The enumeration date for this NPI number is 3/9/2018 and was last updated on 3/9/2018.

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
12251N0400XPhysical TherapistNeurology5501009527MICHIGANYes

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: 11/21/2025

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