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

Individual provider Physical Therapist · NPI 1407630643

Lake Foco, DPT is a Physical Therapist in Grand Haven, Michigan. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

17272 Robbins Rd Ste 102
Grand Haven, MI 49417-2677
Phone: (616) 256-8670
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1407630643
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 21, 2023
Last updated in NPPESApril 22, 2024
Certification dateApril 22, 2024
Mailing addressPo Box 30516, Dept 5300, Lansing, MI 48909

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