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

Individual provider Physical Therapist · NPI 1619191756

Lisa Ann Otterbeinbolek, MSPT is a Physical Therapist in Coopersville, Michigan. Licensed in Michigan. Registered with an NPI since 2007.

Licensed in
MI
In the registry since
2007
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Practice location Address checks out

25 Conran Dr
Coopersville, MI 49404-1366
Phone: (616) 997-6172
Fax: (616) 997-6178
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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 5501012378 (MI)

Record details

NPI number1619191756
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSPT
Sole proprietorNo
NPI enumeratedApril 12, 2007
Last updated in NPPESJanuary 30, 2025
Certification dateJanuary 30, 2025

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