Individual provider · Type 1 NPI

Joanne Karen Ickstadt, P.T.

Physical Therapist · Grand Rapids, MI

NPI number 1649476789 Active

Practice location

2900 Charlevoix Dr SE, Suite #200
Grand Rapids, MI 49546-7085

Mailing address

860 3 Crabs Rd
Sequim, WA 98382-7852

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist Primary 225100000XPT00010467 (WA)

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 1649476789

Joanne Karen Ickstadt, P.T.'s National Provider Identifier is 1649476789, issued on Jun 25, 2007. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Grand Rapids, MI. The record was last updated on Jul 8, 2007.