IndividualActive
Sally Klenk, PT
NPI 1689197352 · Geriatric Physical Therapist · Grand Rapids, MI
Provider details
- NPI number
- 1689197352
- Entity type
- Individual
- Primary specialty
- Geriatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- License
- 5501003429 (MI)
Practice location
4069 Lake Dr Se Ste 114
Grand Rapids, MI 49546-8816
Phone: (616) 267-8346
Fax: (616) 267-8004
Mailing address
100 Michigan St Ne # Mc845
Grand Rapids, MI 49503-2560
Registry dates
- Enumerated
- 2017-07-24
- Last updated
- 2021-10-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.