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

Stacie Bronkema

Individual provider Physical Therapist · NPI 1972071504

Stacie Bronkema is a Physical Therapist in Grand Rapids, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2018

Practice location Address checks out

1430 Monroe Ave NW Ste 120
Grand Rapids, MI 49505-4678
Phone: (616) 685-8800
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5501006532 (MI)

Record details

NPI number1972071504
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 13, 2018
Last updated in NPPESNovember 13, 2018

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