Provider Demographics
NPI:1790171361
Name:CISLER, KARLEY
Entity Type:Individual
Prefix:
First Name:KARLEY
Middle Name:
Last Name:CISLER
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 1:5825 W JEFFERSON COMMONS CIR
Mailing Address - Street 2:APT 203
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49009-6081
Mailing Address - Country:US
Mailing Address - Phone:269-838-6646
Mailing Address - Fax:
Practice Address - Street 1:5825 W JEFFERSON COMMONS CIR
Practice Address - Street 2:APT 203
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49009-6081
Practice Address - Country:US
Practice Address - Phone:269-838-6646
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-10
Last Update Date:2015-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner