Provider Demographics
NPI:1346806288
Name:ROSIER, KAITLYNN KRISTINE (DC)
Entity Type:Individual
Prefix:DR
First Name:KAITLYNN
Middle Name:KRISTINE
Last Name:ROSIER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7927 THORNAPPLE CLUB DR SE
Mailing Address - Street 2:
Mailing Address - City:ADA
Mailing Address - State:MI
Mailing Address - Zip Code:49301-9413
Mailing Address - Country:US
Mailing Address - Phone:616-295-3795
Mailing Address - Fax:
Practice Address - Street 1:5738 FOREMOST RD
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49546
Practice Address - Country:US
Practice Address - Phone:616-295-3795
Practice Address - Fax:616-259-5008
Is Sole Proprietor?:No
Enumeration Date:2019-05-16
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301010820111N00000X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor