Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kim M Wysner, PTA

Individual provider Physical Therapy Assistant · NPI 1235300328

Kim M Wysner, PTA is a Physical Therapy Assistant in Southgate, Michigan. Licensed in Michigan. Registered with an NPI since 2008.

Licensed in
MI
In the registry since
2008
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

16201 Allen Rd
Southgate, MI 48195-7903
Phone: (734) 282-0000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X (MI)

Record details

NPI number1235300328
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedMarch 17, 2008
Last updated in NPPESMarch 17, 2008

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