DR. Edgar Jose Kavistan, PT, DPT

NPI #1952282527 in Coloma, Michigan

Provider Information

NPI Number: 1952282527
Entity Type: Individual
Name: DR. Edgar Jose Kavistan, PT, DPT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT, DPT
Enumeration Date: Sep 10, 2025
Last Updated: Sep 10, 2025

Practice Location

Address: 7040 RED ARROW HWY
City: Coloma
State: Michigan
ZIP Code: 49038-8720
Phone: (269) 468-4318

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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