IndividualActive
Alexandra Waldron, PTA
NPI 1720488729 · Physical Therapy Assistant · Traverse City, MI
Provider details
- NPI number
- 1720488729
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- Yes
- License
- 5502004565 (MI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1000 Pavilions Cir
Traverse City, MI 49684-3098
Phone: (231) 932-3000
Approximate (ZIP-level) locationGet directions
Mailing address
917 Kelley St, Traverse City, Mi 49686
Traverse City, MI 49686-2466
Registry dates
- Enumerated
- 2014-08-26
- Last updated
- 2023-08-31
- Certified
- 2023-08-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.