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RYAN FAKULT, DPT

DPT

Physical Therapist

NPI: 1821131228IndividualAccepts Medicare

Specialties, Licenses & Credentials

Athletic Trainer

Specialist/Technologist — Athletic Trainer

Code: 2255A2300X

070402667(MI)
Physical TherapistPrimary

Physical Therapist

Code: 225100000X

5501016650(MI)

CMS Specialties

PrimaryPHYSICAL THERAPIST IN PRIVATE PRACTICE

Education

OTHER

Class of 2013

Contact & Hours

Address
18161 W 13 MILE RD STE A1
SOUTHFIELD, MI 48076

Quick Facts

NPI
1821131228
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
2
Locations
1
Years in Practice
13

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