Individual provider · Type 1 NPI
Evelyn Ann Vanderwoude
Pediatric Physical Therapist · Jenison, MI
Practice location
1195 Port Sheldon St
Jenison, MI 49428-9341
Mailing address
2390 S Ravenna Rd
Ravenna, MI 49451-9741
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Physical Therapist Primary | 2251P0200X | 5501003444 (MI) |
Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…
4 other providers at this address
- Karis Nicole FerlandSchool Social Worker Georgetown Township, MI NPI 1013829621
- Kimberly Sue Gruppen, PTAPhysical Therapy Assistant Georgetown Township, MI NPI 1730086802
- Lydia Kirkpatrick, MA CCC-SLPSpeech-Language Pathologist Georgetown Township, MI NPI 1821994815
- Nicole Elizabeth Huber, LLMSWSchool Social Worker Georgetown Township, MI NPI 1316859846
About NPI 1568369809
Evelyn Ann Vanderwoude's National Provider Identifier is 1568369809, issued on Oct 21, 2026. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Jenison, MI. The record was last updated on Oct 21, 2026.