NPI 1417641291

Casey Shortt, PTA

Practitioner Physical Therapy Assistant South Lyon, MI

Practice location

Address: 51635 10 Mile Rd, South Lyon, MI 48178-9720
Phone: (248) 278-1072
Fax: (248) 278-1073
Mailing address: 33900 Harper Ave STE 104, Clinton Twp, MI 48035-4258

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 5502008340 (MI)

Other Physical Therapy Assistant providers in Michigan →

Registry record

NPI: 1417641291
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Jun 2023
Record last updated: 6 Jun 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.