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

Individual provider Physical Therapy Assistant · NPI 1477800357

Mrs. Holly Erin Banninga, PTA is a Physical Therapy Assistant in Grand Rapids, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2012
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

1471 Grace St SE
Grand Rapids, MI 49506-1678
Phone: (616) 913-2006
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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 L2091952 (MI)

Record details

NPI number1477800357
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedAugust 9, 2012
Last updated in NPPESAugust 9, 2012

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