Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. EDGAR JOSE KAVISTAN, PT, DPT
Active Sole ProprietorDR. EDGAR JOSE KAVISTAN, PT, DPT is a Physical Therapy Assistant healthcare provider located in COLOMA, Michigan. NPI 1952282527 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · COLOMA, MI
Registration Details
- NPI Number
- 1952282527
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 10, 2025 (0.91746070266045 yrs)
- Last Updated
- Sep 10, 2025
- License
-
5501304101 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7040 RED ARROW HWYCOLOMA, MI, 490388720Browse MI providers · Browse ZIP 49038
- Phone
- 2694684318
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in COLOMA, MI
| Name | Credential | NPI |
|---|---|---|
| MRS. ELIZABETH ANN DEROSA | PT | 1790254530 |
| MELINDA AMBER SHANNON | PT. DPT, MS | 1942770698 |
| DR. JEREMY B SHELLEY | PT | 1194295782 |
| SIMI JAIN | PT | 1962973560 |
| MYKHANH GUIDEBECK | PT, DPT | 1811616329 |
| NICOLE CARAN | — | 1568323806 |
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.