IndividualActive
Nanette Hannum, PT, DPT, CCS
NPI 1194227314 · Cardiopulmonary Physical Therapist · Detroit, MI
Provider details
- NPI number
- 1194227314
- Entity type
- Individual
- Primary specialty
- Cardiopulmonary Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT, DPT, CCS
- Sex
- Female
- Sole proprietor
- No
- License
- 5501016473 (MI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2799 W Grand Blvd
Detroit, MI 48202-2608
Phone: (313) 916-1128
Approximate (ZIP-level) locationGet directions
Mailing address
2799 W Grand Blvd
Detroit, MI 48202-2608
Registry dates
- Enumerated
- 2018-03-03
- Last updated
- 2018-03-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.