Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEANNE MARIE NYSTROM
ActiveJEANNE MARIE NYSTROM is a Physical Therapy Assistant healthcare provider located in MATTAWAN, Michigan. NPI 1972156883 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · MATTAWAN, MI
Registration Details
- NPI Number
- 1972156883
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 19, 2019 (6.8890546185399 yrs)
- Last Updated
- Jul 19, 2019
- License
-
5501002905 (MI)
Practice Information
- Address
-
23332 RED ARROW HWYMATTAWAN, MI, 490719703Browse MI providers · Browse ZIP 49071
- Phone
- 2692835349
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in MATTAWAN, MI
| Name | Credential | NPI |
|---|---|---|
| MR. KEVIN JAMES LACEY | PT, DPT | 1447346036 |
| SHANNON L LOGSDON | MSPT | 1114071487 |
| MRS. CECILIA LIZ VIVES VASQUEZ | PHYSICAL THERAPIST | 1265629927 |
| DR. IAN HEINICKE | PT, DPT | 1366923484 |
| OWEN OSBORN | — | 1144940685 |
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.