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

Lake Isabella Physical Therapy, LLC

Organization Physical Therapist · NPI 1376952853

Lake Isabella Physical Therapy, LLC is a Physical Therapist in Weidman, Michigan. Licensed in Michigan. Registered with an NPI since 2014.

Licensed in
MI
In the registry since
2014
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

50 N Coldwater Rd Ste D
Weidman, MI 48893-8845
Phone: (989) 546-7490
Fax: (989) 546-7298
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 5502001683 (MI)
Physical Therapist Taxonomy 225100000X · Licence 5501014675 (MI)
Physical Therapy Assistant Taxonomy 225200000X · Licence 5502003378 (MI)

Record details

NPI number1376952853
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shannon Dexter — President, Pt, Dpt · (989) 546-7490
NPI enumeratedAugust 8, 2014
Last updated in NPPESAugust 8, 2014
Mailing address50 N Coldwater Rd, Suite D, Weidman, MI 48893-8845

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