Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SELENA NICOLE FULLER, DPT
ActiveSELENA NICOLE FULLER, DPT is a Physical Therapy Assistant healthcare provider located in CRYSTAL FALLS, Michigan. NPI 1568073377 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · CRYSTAL FALLS, MI
Registration Details
- NPI Number
- 1568073377
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 14, 2020 (5.9873572067212 yrs)
- Last Updated
- Dec 17, 2025
- Licenses
-
PT018633 (OH)15213-24 (WI)5501019643 (MI)
Practice Information
- Address
-
1352 US HWY 2CRYSTAL FALLS, MI, 49920Browse MI providers · Browse ZIP 49920
- Phone
- 9068741124
- Fax
- 9068742124
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in CRYSTAL FALLS, MI
| Name | Credential | NPI |
|---|---|---|
| MRS. DEBORAH J ROSSATO | PT | 1962661678 |
| RICHARD L BEAUDOIN | PT, DPT | 1083048938 |
| JORDAN FULLER | DPT | 1386266211 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.