Most Relevant Information
Provider Data
| NPI Number: | 1003423757 |
| Provider Name: | EVAN KLEIKAMP |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 5501019239 |
Most Important Dates
| Enumeration Date: | 09/28/2020 |
| Last Updated: | 09/28/2020 |
Provider Practice Location
505 N HOOPER ST
KINGSFORD
MI
498025406
Practice Location Phone/Fax
| Phone: | 9067769003 |
| Fax: |
Provider Mailing Location
505 N HOOPER ST
KINGSFORD
MI
498025406
Provider Mailing Phone/Fax
| Phone: | 9067769003 |
| Fax: |