SearchMichiganPhysical Therapy Assistant

Laci Johncock

NPI 1972989655 · on the registry since 2015

Practice

Address
2786 56th Street
Wyoming, MI 49418
Phone
(616) 261-3960
Fax
(616) 261-3925
Clinicians at this address
2

Registry record

Primary taxonomy
Physical Therapy Assistant
225200000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-08-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan