Individual provider · Type 1 NPI

Krista Blievernicht, PTA

Physical Therapy Assistant · East Lansing, MI

NPI number 1487566790 Active

Practice location

2815 Northwind Dr
East Lansing, MI 48823-5003

Call (517) 483-3004 Map

Mailing address

9800 Bond Rd
Dewitt, MI 48820-8498

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X5502008628 (MI)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1487566790

Krista Blievernicht, PTA's National Provider Identifier is 1487566790, issued on Sep 21, 2026. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in East Lansing, MI. The record was last updated on Sep 21, 2026.