Provider Demographics
NPI:1750818654
Name:HISEY, ALICIA KAY (PT, DPT, NCS, CBIS)
Entity type:Individual
Prefix:
First Name:ALICIA
Middle Name:KAY
Last Name:HISEY
Suffix:
Gender:F
Credentials:PT, DPT, NCS, CBIS
Other - Prefix:
Other - First Name:ALICIA
Other - Middle Name:KAY
Other - Last Name:BRUMMEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT, CBIS
Mailing Address - Street 1:9715 VILLAGE PLACE BLVD
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:MI
Mailing Address - Zip Code:48116-2087
Mailing Address - Country:US
Mailing Address - Phone:810-772-7600
Mailing Address - Fax:810-206-3165
Practice Address - Street 1:9715 VILLAGE PLACE BLVD
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:MI
Practice Address - Zip Code:48116-2087
Practice Address - Country:US
Practice Address - Phone:810-772-7600
Practice Address - Fax:810-206-3165
Is Sole Proprietor?:No
Enumeration Date:2017-05-23
Last Update Date:2025-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501018207225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist