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

Leticia Longoria

Individual provider Physical Therapy Assistant · NPI 1710822440

Leticia Longoria is a Physical Therapy Assistant in Grand Rapids, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2026

Practice location Address checks out

1055 Forest Hill Ave SE
Grand Rapids, MI 49546-3626
Phone: (616) 726-8595
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 5502000900 (MI)

Record details

NPI number1710822440
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 20, 2026
Last updated in NPPESApril 20, 2026
Certification dateApril 20, 2026
Mailing address5349 Martin Rd, Norton Shores, MI 49441-5602

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