Individual ProviderKyle Martin HeisePhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address39933 Ford Rd, Canton, MI 48187-4400(248) 733-4325(313) 930-0366PECOS EnrollmentBased on the most recent information from CMS, provider Kyle Martin Heise does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1063009587Provider TypeIndividualFull NameHeise, Kyle MartinTitleDr.CredentialPT, DPTGenderMaleSole ProprietorNoEnumeration Date12/30/2020Last Updated5/21/2025Contact InformationPractice LocationPractice Address39933 Ford Rd, Canton, MI 48187-4400Phone(248) 733-4325Fax(248) 268-7979Mailing LocationMailing Address14256 Farmington Rd, Livonia, MI 48154-5423Phone(313) 930-0366FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense5501019887Michigan