Ilse Michelle Bogard, PT,DPT
Individual provider Active NPI Physical Therapist · Belding, MI
NPI 1770085557 · NPPES record last updated Mar 7, 2018
Key facts
- NPI
- 1770085557
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 5501016833 (MI)
- Practice address
- 1320 W State St Ste 3D
Belding, MI 48809-9245 - Phone
- (616) 244-1110
- NPI assigned
- Mar 7, 2018
- 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 |
|---|---|---|---|
| 5501016833 | MI | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501016833 | MI | Yes |
Addresses
Primary practice location
1320 W State St Ste 3D
Belding, MI 48809-9245
Mailing address
1320 W State St Ste 3D
Belding, MI 48809-9245
Phone (616) 244-1110
Other providers in Belding, MI
- Belding Christian Nursing Home, Inc
- Belding Family Eyecare LLC
- Belding Family Eyecare PLLC
- Belding Sunrise Manor Afc LLC
- Jonathan Caleb Bergen
- Benjamin Roy Bookie
- Taylora Bookie
- Olivia Rose Borchers
- George Frederick Bothma
- Wendy Leigh Bouwens
All providers in Belding, MI · Physical Therapist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2018. 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.