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

Kaitlin Ezinga, PT

Individual provider Physical Therapist · NPI 1417366030

Kaitlin Ezinga, PT is a Physical Therapist in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2014.

Licensed in
MI
In the registry since
2014
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

150 Jefferson Ave SE Ste 100
Grand Rapids, MI 49503-4306
Phone: (616) 284-3690
Fax: (616) 301-1320
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5501016809 (MI)

Record details

NPI number1417366030
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedAugust 7, 2014
Last updated in NPPESAugust 7, 2014

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