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

Hannah M Declark, AT

Individual provider Orthopedic Physical Therapist · NPI 1740631829

Hannah M Declark, AT is an Orthopedic Physical Therapist in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2016.

Licensed in
MI
In the registry since
2016

Practice location Address checks out

5060 Cascade Rd SE Ste A
Grand Rapids, MI 49546-3808
Phone: (616) 954-0695
Show map & directions

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

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence 2601000326 (MI)

Record details

NPI number1740631829
Entity typeIndividual (Type 1)
GenderFemale
Credentials AT
Sole proprietorNo
NPI enumeratedJune 29, 2016
Last updated in NPPESJune 29, 2016
Mailing address5060 Cascade Rd Se Ste A, Grand Rapids, MI 49546-3808

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