SearchMichigan225100000X

Trey Kubizna, D.P.T

NPI 1265411565 · on the registry since 2006

Practice

Address
3035 Hoag Ave Ne
Grand Rapids, MI 49525
Phone
(616) 262-7263
Fax
(616) 365-9394
Organisation at this address
Functional Innovative Therapy, Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
225100000X
225100000X
Also registered as
225100000X
Licence states on file
AZ, MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-04-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan