IndividualActive
Kelly Urbaniak, L/PTA, CNA
NPI 1528850674 · Geriatric Physical Therapist · Holland, MI
Provider details
- NPI number
- 1528850674
- Entity type
- Individual
- Primary specialty
- Geriatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- L/PTA, CNA
- Sex
- Female
- Sole proprietor
- Yes
- License
- 5502002157 (MI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1221 E 16th St
Holland, MI 49423-9127
Phone: (616) 396-7095
Approximate (ZIP-level) locationGet directions
Mailing address
1221 E 16th St
Holland, MI 49423-9127
Registry dates
- Enumerated
- 2025-05-22
- Last updated
- 2025-05-22
- Certified
- 2025-05-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.