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

Jim Zivan Tavrazich

Individual provider Physical Therapist · NPI 1609378082

Jim Zivan Tavrazich is a Physical Therapist in Southfield, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2018

Practice location Address checks out

22777 W 11 Mile Rd Fl PT2
Southfield, MI 48033-2152
Phone: (248) 386-5270
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5501002600 (MI)

Record details

NPI number1609378082
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 1, 2018
Last updated in NPPESMarch 30, 2021
Certification dateMarch 30, 2021

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