DR. Ricky John Bastarache, MSPT DPT
NPI #1598742397 in Swartz Creek, Michigan
Provider Information
- NPI Number
- 1598742397
- Entity Type
- Individual
- Name
- DR. Ricky John Bastarache, MSPT DPT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist
- Credential
- MSPT DPT
- Enumeration Date
- Dec 22, 2005
- Last Updated
- Oct 16, 2020
Practice Location
- Address
- 6012 LINDEN RD STE 15
- City
- Swartz Creek
- State
- Michigan
- ZIP Code
- 48473-8889
- Phone
- (810) 655-8244
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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