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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. KYLE MARTIN HEISE, PT, DPT

Active

DR. KYLE MARTIN HEISE, PT, DPT is a Physical Therapy Assistant healthcare provider located in CANTON, Michigan. NPI 1063009587 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · CANTON, MI

Registration Details

NPI Number
1063009587
Provider Type
Individual
Gender
Male
NPI Issued
Dec 30, 2020 (5.6165410860612 yrs)
Last Updated
May 21, 2025
License
5501019887 (MI)

Practice Information

Address
39933 FORD RD
CANTON, MI, 481874400
Browse MI providers · Browse ZIP 48187
Phone
2487334325
Fax
2482687979
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in CANTON, MI

Name Credential NPI
WILLIAM JAMES BRENNER MSPT 1669432688
VASUDEVAN SURYAKUMAR P.T. 1598784712
MR. RICHARD ALAN FRUITMAN MPT 1710991674
MR. JOSHUA ABIODUN OBIRI B.SC RPT 1730297839
GREGORY BARTERIAN PT, CSCS 1164518973
KORNELIS OOSTHOEK PT 1770671299
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.