Brittani Dawn Withers
Individual provider Active NPI Physical Therapy Assistant · Bridgman, MI
NPI 1689334146 · NPPES record last updated Dec 26, 2021
Key facts
- NPI
- 1689334146
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 5502007940 (MI)
- Practice address
- 4559 Isabella
Bridgman, MI 49106-8701 - Phone
- (304) 544-7667
- NPI assigned
- Dec 26, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5502007940 | MI | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 5502007940 | MI | Yes |
Addresses
Primary practice location
4559 Isabella
Bridgman, MI 49106-8701
Mailing address
4559 Isabella
Bridgman, MI 49106-8701
Phone (304) 544-7667
Other providers in Bridgman, MI
- Ruffs Care Centers
- Ryan E. Thomas, D.D.S. P.C.
- Tanya Sobaski
- Ryan E. Thomas
- Brandie L Topinka
- Donald Wolfram
All providers in Bridgman, MI · Physical Therapy Assistant in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 26, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.