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

Carol L Blouch, PTA, ATC

Individual provider Physical Therapy Assistant · NPI 1053566448

Carol L Blouch, PTA, ATC is a Physical Therapy Assistant in Traverse City, Michigan. Registered with an NPI since 2008.

In the registry since
2008
Specialties on file
2
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

4045 W Royal Dr
Traverse City, MI 49684-8965
Phone: (231) 935-0900
Fax: (231) 935-0308
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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
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1053566448
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA , ATC
Sole proprietorNo
NPI enumeratedNovember 26, 2008
Last updated in NPPESNovember 26, 2008

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