Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Mrs. Kristen Michelle Decaluwe, PTA

Individual provider Physical Therapy Assistant · NPI 1174674188

Mrs. Kristen Michelle Decaluwe, PTA is a Physical Therapy Assistant in Roseville, Michigan. Licensed in Michigan. Registered with an NPI since 2007.

Licensed in
MI
In the registry since
2007
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

20905 E 12 Mile Rd Ste 200
Roseville, MI 48066-6501
Phone: (586) 204-0070
Fax: (586) 204-0080
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 5502000175 (MI)

Record details

NPI number1174674188
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedJanuary 16, 2007
Last updated in NPPESSeptember 28, 2026
Certification dateSeptember 28, 2026

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