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

Joanne Karen Ickstadt, PT

Individual provider Physical Therapist · NPI 1649476789

Joanne Karen Ickstadt, PT is a Physical Therapist in Grand Rapids, Michigan. Licensed in Washington. Registered with an NPI since 2007.

Licensed in
WA
In the registry since
2007
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

2900 Charlevoix Dr SE Ste #200
Grand Rapids, MI 49546-7085
Phone: (800) 634-1077
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT00010467 (WA)

Record details

NPI number1649476789
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedJune 25, 2007
Last updated in NPPESJuly 8, 2007

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