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

Michigan State University

Organization Physical Therapist · NPI 1992712053

Michigan State University is a Physical Therapist in East Lansing, Michigan. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
4

Practice location Address checks out

4660 S Hagadorn Rd Ste 400
East Lansing, MI 48823-5353
Phone: (517) 355-7648
Fax: (517) 432-1319
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X
Physical Therapy Assistant Taxonomy 225200000X
Occupational Therapist Taxonomy 225X00000X
Speech-Language Pathologist Taxonomy 235Z00000X

Record details

NPI number1992712053
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Rucker — Enrollment & Patient Accts Manager · (517) 884-2976
NPI enumeratedAugust 2, 2006
Last updated in NPPESApril 5, 2018
Mailing address4660 S Hagadorn Rd, Ste 400, East Lansing, MI 48823-5353

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