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

Mrs. Nicole Marie Pastoor, PTA

Individual provider Physical Therapy Assistant · NPI 1376762997

Mrs. Nicole Marie Pastoor, PTA is a Physical Therapy Assistant in Grant, Michigan. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

17615 W Moore
Grant, MI 49327-9408
Phone: (231) 834-0208
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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 AT-6074 (CA)

Record details

NPI number1376762997
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedApril 24, 2007
Last updated in NPPESJuly 8, 2007

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