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

Keven Alan Stafford, LPTA

Individual provider Physical Therapist · NPI 1356206791

Keven Alan Stafford, LPTA is a Physical Therapist in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2025.

Licensed in
MI
In the registry since
2025

Practice location Address checks out

4234 Cascade Rd SE Ste 3
Grand Rapids, MI 49546-8384
Phone: (877) 654-4144
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5502004616 (MI)

Record details

NPI number1356206791
Entity typeIndividual (Type 1)
GenderMale
Credentials LPTA
Sole proprietorNo
NPI enumeratedDecember 18, 2025
Last updated in NPPESDecember 18, 2025
Certification dateDecember 18, 2025

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