Individual provider · Type 1 NPI

Keven Alan Stafford, LPTA

Physical Therapist · Grand Rapids, MI

NPI number 1356206791 Active

Practice location

4234 Cascade Rd SE Ste 3
Grand Rapids, MI 49546-8384

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist Primary 225100000X5502004616 (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 1356206791

Keven Alan Stafford, LPTA's National Provider Identifier is 1356206791, issued on Dec 18, 2025. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Grand Rapids, MI. The record was last updated on Dec 18, 2025.