Individual provider · Type 1 NPI

Jesse Daniel Whittemore

Physical Therapy Assistant · Woodhaven, MI

NPI number 1730004110 Active

Practice location

20059 King Rd
Woodhaven, MI 48183-1032

Call (734) 365-5112 Map

Fax (734) 365-5115

Mailing address

33900 Harper Ave Ste 104
Clinton Township, MI 48035-4258

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X5502006302 (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 1730004110

Jesse Daniel Whittemore's National Provider Identifier is 1730004110, issued on Aug 12, 2026. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Woodhaven, MI. The record was last updated on Aug 13, 2026.