Provider Demographics
NPI:1316492994
Name:KAYE, BARBARA (PT, MHS, PCS)
Entity type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:
Last Name:KAYE
Suffix:
Gender:F
Credentials:PT, MHS, PCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18501 ROTUNDA DR STE 200
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48124-3891
Mailing Address - Country:US
Mailing Address - Phone:313-996-1970
Mailing Address - Fax:313-996-1965
Practice Address - Street 1:18501 ROTUNDA DR STE 200
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48124-3891
Practice Address - Country:US
Practice Address - Phone:313-996-1970
Practice Address - Fax:313-996-1965
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-24
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI55010022202251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics