Individual provider · Type 1 NPI

Katie Deroo, D.P.T.

Pediatric Physical Therapist · Grand Rapids, MI

NPI number 1700283249 Active

Practice location

235 Wealthy St SE
Grand Rapids, MI 49503-5247

Call (616) 840-8000 Map

Mailing address

5867 Walnut Ridge Dr SW
Wyoming, MI 49418-8347

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200X5501015392 (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…

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About NPI 1700283249

Katie Deroo, D.P.T.'s National Provider Identifier is 1700283249, issued on Nov 26, 2014. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Grand Rapids, MI. The record was last updated on Mar 1, 2018.