Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHAD DJ KUKLEWSKI, LPTA
ActiveSHAD DJ KUKLEWSKI, LPTA is a Occupational Therapist healthcare provider located in GROSSE POINTE FARMS, Michigan. NPI 1639756000 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · GROSSE POINTE FARMS, MI
Registration Details
- NPI Number
- 1639756000
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 24, 2021 (5.3739373260518 yrs)
- Last Updated
- Mar 24, 2021
- License
-
5502000445 (MI)
Practice Information
- Address
-
159 KERCHEVAL AVEGROSSE POINTE FARMS, MI, 482363610Browse MI providers · Browse ZIP 48236
- Phone
- 3136402200
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in GROSSE POINTE FARMS, MI
| Name | Credential | NPI |
|---|---|---|
| MR. SCOTT SHERIDAN | P.T.A. | 1487190898 |
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.