Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KERTIA LIBRETTO BLACK, MD
ActivePhysical Medicine & Rehabilitation · LATHRUP VILLAGE, MI
Registration Details
- NPI Number
- 1467499954
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 1, 2006 (19.930542181539 yrs)
- Last Updated
- Jun 22, 2020
- License
-
4301061932 (MI)
Practice Information
- Address
-
27725 RAINBOW CIRLATHRUP VILLAGE, MI, 480763238Browse MI providers · Browse ZIP 48076
- Phone
- 2489107018
- Fax
- 2485575409
- Primary Specialty
-
Physical Medicine & Rehabilitation
208100000X
Other Physical Medicine & Rehabilitation Providers in LATHRUP VILLAGE, MI
| Name | Credential | NPI |
|---|---|---|
| JAMES THOMAS GILAS | M. D. | 1184832925 |
| PAYAUM FOTOVAT-AHMADI | MD | 1225715683 |
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.