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

Elise Fullmer, PTA

Individual provider Physical Therapy Assistant · NPI 1215606645

Elise Fullmer, PTA is a Physical Therapy Assistant in Holland, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2021
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

12330 James St Ste H10
Holland, MI 49424-9575
Phone: (616) 582-3142
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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 5502005639 (MI)

Record details

NPI number1215606645
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedSeptember 9, 2021
Last updated in NPPESSeptember 9, 2021
Certification dateSeptember 9, 2021

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