Provider Demographics
NPI:1467584144
Name:PULS, DAVID KARL (PT)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:KARL
Last Name:PULS
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11400 KLINGER ST
Mailing Address - Street 2:
Mailing Address - City:HAMTRAMCK
Mailing Address - State:MI
Mailing Address - Zip Code:48212-3158
Mailing Address - Country:US
Mailing Address - Phone:313-368-0144
Mailing Address - Fax:
Practice Address - Street 1:3309 CANIFF ST
Practice Address - Street 2:
Practice Address - City:HAMTRAMCK
Practice Address - State:MI
Practice Address - Zip Code:48212-3148
Practice Address - Country:US
Practice Address - Phone:313-369-9800
Practice Address - Fax:313-369-9800
Is Sole Proprietor?:No
Enumeration Date:2007-03-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501003268225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI236756Medicare ID - Type Unspecified