Provider Demographics
NPI:1891563946
Name:KAITLYNN ROSIER TEFFT PLLC
Entity Type:Organization
Organization Name:KAITLYNN ROSIER TEFFT PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KAITLYNN
Authorized Official - Middle Name:KRISTINE
Authorized Official - Last Name:ROSIER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:616-295-3795
Mailing Address - Street 1:1753 WEYMOUTH DR SE
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49508-3711
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5738 FOREMOST DR SE
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49546-7068
Practice Address - Country:US
Practice Address - Phone:616-295-3795
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-18
Last Update Date:2024-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty