| Kyle R Wesche, DPT | |
|
17615 W Moore, Grant, MI 49327-9408 | |
| (231) 834-0208 | |
| Not Available |
| Full Name | Kyle R Wesche |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 17615 W Moore, Grant, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295214906 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Ivyrehab Michigan Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1104337120 PECOS PAC ID: 6901165893 Enrollment ID: O20180123001245 |
| Provider Name | West Michigan Community-based Rehabilitation Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1346706223 PECOS PAC ID: 6709128325 Enrollment ID: O20190501002387 |
| Mailing Address | Practice Location Address |
|---|---|
| Kyle R Wesche, DPT 4240 Meadowood Ct, Hudsonville, MI 49426-8667 Ph: () - | Kyle R Wesche, DPT 17615 W Moore, Grant, MI 49327-9408 Ph: (231) 834-0208 |
James Peter Vanhuisen, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17615 W Moore, Grant, MI 49327 Phone: 231-834-0208 Fax: 231-834-0223 | |
Scott A Chapman, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17615 W Moore, Grant, MI 49327 Phone: 231-834-0208 | |
David James Dehaan, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 17615 W Moore, Grant, MI 49327 Phone: 231-834-0208 Fax: 616-965-2475 |