Individual provider · Type 1 NPI

Shawn Michael Black, M.S., P.T.

Physical Therapist · Traverse City, MI

NPI number 1679603575 Active

Practice location

701 US Highway 31 S
Traverse City, MI 49685-8016

Call (800) 406-5143 Map

Fax (231) 995-9302

Mailing address

1189 Gonder Rd
Interlochen, MI 49643-9705

Specialties and licenses

TaxonomyCodeLicense
Physical Medicine & Rehabilitation Physician 208100000X5501011285 (MI)
Physical Therapist Primary 225100000X5501011285 (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 1679603575

Shawn Michael Black, M.S., P.T.'s National Provider Identifier is 1679603575, issued on Mar 7, 2007. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Traverse City, MI. The record was last updated on May 7, 2025.