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

Michael J Tisdall, PTA

Individual provider Physical Therapy Assistant · NPI 1730326604

Michael J Tisdall, PTA is a Physical Therapy Assistant in Clinton Twp, Michigan. Licensed in Michigan. Registered with an NPI since 2009.

Licensed in
MI
In the registry since
2009
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

35746 Harper Ave
Clinton Twp, MI 48035-3212
Phone: (586) 791-9203
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X (MI)

Record details

NPI number1730326604
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedJanuary 14, 2009
Last updated in NPPESJanuary 14, 2009
Mailing address22213 Mylls Ct, Saint Clair Shores, MI 48081-1232

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