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

Individual provider Physical Therapy Assistant · NPI 1194123505

Mr. Jefforey McLanson, PTA is a Physical Therapy Assistant in Waterford, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2014
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

5601 Hatchery Rd
Waterford, MI 48329-3451
Phone: (248) 674-5367
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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 · Licence 5502003670 (MI)

Record details

NPI number1194123505
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedDecember 17, 2014
Last updated in NPPESDecember 17, 2014

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