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Travis John Dekruyter
Rehabilitation Practitioner in Dearborn, Michigan
NPI 1144677436

Travis John Dekruyter is a Rehabilitation Practitioner based in Dearborn, MI. Travis John Dekruyter practices in Dearborn, MI. The NPI Number for Travis John Dekruyter is 1144677436 and holds a License No. (Michigan).

The current practice location address for Travis John Dekruyter is 22818 Lodge Ln, Dearborn, MI and can be reached out via phone at 313-600-8124.

Location: 22818 Lodge Ln, Dearborn, MI, 48128-1811
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144677436
Provider Name
Travis John Dekruyter
Credential
Provider Entity Type
Individual
Gender
Male
Address
22818 Lodge Ln, Dearborn, MI, 48128-1811
Phone Number
313-600-8124
Fax Number
Provider Enumeration Date
05/17/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
22818 Lodge Ln
City
Dearborn
State
Michigan
Zip
48128-1811
Phone Number
313-600-8124
Fax Number
person
Provider Business Mailing Address Details
Address
22818 Lodge Ln
City
Dearborn
State
Michigan
Zip
48128-1811
Phone Number
313-600-8124
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Rehabilitation Practitioner
Speciality
-
Taxonomy
225400000X
License No.
()
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
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