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

Theresa Maxine Whiteside, PTA

Individual provider Physical Therapy Assistant · NPI 1790460152

Theresa Maxine Whiteside, PTA is a Physical Therapy Assistant in Grand Blanc, Michigan. Licensed in Michigan. Registered with an NPI since 2023.

Licensed in
MI
In the registry since
2023
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

8500 Fletcher Rd
Grand Blanc, MI 48439-8908
Phone: (810) 701-7827
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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 5502003469 (MI)

Record details

NPI number1790460152
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedJune 21, 2023
Last updated in NPPESJune 21, 2023
Certification dateJune 21, 2023

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