Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Functional Physical Therapy of Clarkston

Organization Physical Therapist · NPI 1417079187

Functional Physical Therapy of Clarkston is a Physical Therapist in Clarkston, Michigan. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

7736 Ortonville Rd Ste C
Clarkston, MI 48348-4483
Phone: (248) 620-1415
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1417079187
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kornelis Oosthek — Director · (248) 620-1415
NPI enumeratedApril 4, 2007
Last updated in NPPESAugust 22, 2020
Mailing address4206 Pontiac Lake Rd, Waterford, MI 48328-1261

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