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

Mrs. Beth Ann Brodnicki, MSPT, CMLDT

Individual provider Physical Therapist · NPI 1649773300

Mrs. Beth Ann Brodnicki, MSPT, CMLDT 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
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Practice location Address checks out

4069 Lake Dr SE Ste 114
Grand Rapids, MI 49546-8816
Phone: (616) 267-8346
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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 5501011240 (MI)

Record details

NPI number1649773300
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSPT , CMLDT
Sole proprietorNo
NPI enumeratedMarch 8, 2018
Last updated in NPPESOctober 4, 2021
Certification dateOctober 4, 2021

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