OrganizationActive
Core Complete
NPI 1699423095 · Orthopedic Physical Therapist · Portage, MI
Provider details
- NPI number
- 1699423095
- Entity type
- Organization
- Primary specialty
- Orthopedic Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Neal Mccrum, Physical Therapist(269) 270-3501
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
6051 Constitution Blvd Ste B
Portage, MI 49024-1613
Phone: (269) 270-3501
Fax: (269) 270-3502
Approximate (ZIP-level) locationGet directions
Mailing address
6051 Constitution Blvd Ste B
Portage, MI 49024-1613
Registry dates
- Enumerated
- 2022-03-15
- Last updated
- 2022-03-15
- Certified
- 2022-03-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.