Individual provider · Type 1 NPI

Roberta Piesko

Physical Therapy Assistant · Grandville, MI

NPI number 1548121007 Active

Practice location

3400 Wilson Ave SW
Grandville, MI 49418-1854

Call (616) 534-5487 Map

Mailing address

16616 Riley St
Holland, MI 49424-5811

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X5502003642 (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 1548121007

Roberta Piesko's National Provider Identifier is 1548121007, issued on Nov 22, 2025. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Grandville, MI. The record was last updated on Nov 22, 2025.