Search › Michigan › 225100000X
Kevin Tabaczka, PT
NPI 1952527889 · on the registry since 2007
Practice
- Address
- 1806 E Parkdale Ave Ste 1
Manistee, MI 49660 - Phone
- (231) 723-5479
- Fax
- (231) 723-3586
- Organisation at this address
- Crystal Lake Clinic Pc
Western Michigan Ent Pc
Raymond E. F. Schmoke, Md. P.C.
Teter Orthotics & Prosthetics IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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