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

Individual provider Physical Therapy Assistant · NPI 1538582762

Stephanie Wydick, PTA is a Physical Therapy Assistant in Kalamazoo, Michigan. Licensed in Michigan. Registered with an NPI since 2014.

Licensed in
MI
In the registry since
2014
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

2575 N Drake Rd
Kalamazoo, MI 49006-1358
Phone: (269) 342-0206
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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 5502002920 (MI)

Record details

NPI number1538582762
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedJanuary 23, 2014
Last updated in NPPESJanuary 23, 2014

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