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

Andrea Elizabeth Dewaele, LPTA

Individual provider Physical Therapy Assistant · NPI 1174148316

Andrea Elizabeth Dewaele, LPTA is a Physical Therapy Assistant in Roseville, Michigan. Licensed in Michigan. Registered with an NPI since 2020.

Licensed in
MI
In the registry since
2020

Practice location Address checks out

25375 Kelly Rd
Roseville, MI 48066-4960
Phone: (586) 773-6022
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 5502000541 (MI)

Record details

NPI number1174148316
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPTA
Sole proprietorNo
NPI enumeratedJune 13, 2020
Last updated in NPPESJune 13, 2020
Certification dateJune 13, 2020