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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1962124107

Mitchell David Anderson, PT, DPT is a Student in an Organized Health Care Education/Training Program in Manistee, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2022
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1345 E Parkdale Ave
Manistee, MI 49660-9318
Phone: (231) 398-1166
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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 5501302632 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1962124107
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorYes
NPI enumeratedSeptember 14, 2022
Last updated in NPPESAugust 22, 2023
Certification dateAugust 9, 2023
Mailing address1345 E Parkdale Ave, Manistee, MI 49660-9318

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