Individual provider · Type 1 NPI

Evan Walsh Mazur

Physical Therapist · Grand Rapids, MI

NPI number 1215452479 Active

Practice location

4085 Burton St SE Ste 100
Grand Rapids, MI 49546-2444

Fax (616) 385-6030

Mailing address

1060 Plaza Dr
Highlands Ranch, CO 80129-2344

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist 225100000XPTL.0013686 (CO)
Physical Therapist Primary 225100000X5501303510 (MI)

Physical Therapist: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, r…

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About NPI 1215452479

Evan Walsh Mazur's National Provider Identifier is 1215452479, issued on Aug 9, 2017. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Grand Rapids, MI. The record was last updated on Feb 5, 2025.