Travis John Dekruyter
Travis John Dekruyter is a Rehabilitation Practitioner in Dearborn, Michigan. Registered with an NPI since 2016.
- In the registry since
- 2016
Practice location Address checks out
22818 Lodge LnDearborn, MI 48128-1811
Phone: (313) 600-8124
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Rehabilitation Practitioner (primary) | Taxonomy 225400000X |
|---|
Record details
| NPI number | 1144677436 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 17, 2016 |
| Last updated in NPPES | May 17, 2016 |
| Mailing address | 22818 Lodge Ln, Dearborn, MI 48128-1811 |