Provider Demographics
NPI:1992251342
Name:CHAPPELL, KARI (PT)
Entity type:Individual
Prefix:
First Name:KARI
Middle Name:
Last Name:CHAPPELL
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:KARI
Other - Middle Name:
Other - Last Name:BOUWER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:120 LOWELL AVE NE
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49503-3786
Mailing Address - Country:US
Mailing Address - Phone:616-745-7153
Mailing Address - Fax:
Practice Address - Street 1:3669 PLAINFIELD AVE NE
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49525-2477
Practice Address - Country:US
Practice Address - Phone:616-202-1872
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-26
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501302734225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist