Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Edgar Jose Kavistan, PT, DPT

Individual provider Physical Therapist · NPI 1952282527

Dr. Edgar Jose Kavistan, PT, DPT is a Physical Therapist in Coloma, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2025
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

7040 Red Arrow Hwy
Coloma, MI 49038-8720
Phone: (269) 468-4318
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5501304101 (MI)

Record details

NPI number1952282527
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorYes
NPI enumeratedSeptember 10, 2025
Last updated in NPPESSeptember 10, 2025
Certification dateSeptember 10, 2025

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