Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TRAVIS JOHN DEKRUYTER
ActiveTRAVIS JOHN DEKRUYTER is a Occupational Therapy Assistant healthcare provider located in DEARBORN, Michigan. NPI 1144677436 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · DEARBORN, MI
Registration Details
- NPI Number
- 1144677436
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 17, 2016 (10.274281403597 yrs)
- Last Updated
- May 17, 2016
Practice Information
- Address
-
22818 LODGE LNDEARBORN, MI, 481281811Browse MI providers · Browse ZIP 48128
- Phone
- 3136008124
- Primary Specialty
-
Occupational Therapy Assistant
225400000X
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.