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

Paul Frederick

Individual provider Physical Therapy Clinic/Center · NPI 1790881290

Paul Frederick is a Physical Therapy Clinic/Center in South Haven, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2006

Practice location Address checks out

02957 73rd St
South Haven, MI 49090-9364
Phone: (269) 637-9099
Fax: (269) 637-9224
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X · Licence M15501011004 (MI)

Record details

NPI number1790881290
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 15, 2006
Last updated in NPPESMarch 20, 2008
Mailing address02957 73rd St, South Haven, MI 49090-9364

Other providers in South Haven