Provider Demographics
NPI:1275991234
Name:SOVEY, KATHY
Entity Type:Individual
Prefix:
First Name:KATHY
Middle Name:
Last Name:SOVEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1085 S LINDEN RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48532-3421
Mailing Address - Country:US
Mailing Address - Phone:810-262-2000
Mailing Address - Fax:810-230-3366
Practice Address - Street 1:1085 S LINDEN RD
Practice Address - Street 2:SUITE 100
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48532-3421
Practice Address - Country:US
Practice Address - Phone:810-262-2000
Practice Address - Fax:810-230-3366
Is Sole Proprietor?:No
Enumeration Date:2016-02-05
Last Update Date:2016-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI5502001872Medicaid
MI5502001872Medicare UPIN
MI5502001872Medicare NSC
MI5502001872Medicare Oscar/Certification
MI5502001872Medicare PIN