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

Lisa Anne Ethington

Individual provider Physical Therapist · NPI 1114429883

Lisa Anne Ethington is a Physical Therapist in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2018.

Licensed in
MI
In the registry since
2018

Practice location Address checks out

80 68th St SE
Grand Rapids, MI 49548-6980
Phone: (616) 391-8215
Fax: (616) 391-8232
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 55001004153 (MI)

Record details

NPI number1114429883
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 8, 2018
Last updated in NPPESMarch 8, 2018

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