Provider Demographics
NPI:1992697635
Name:GRANGOOD, ERIK (PTA)
Entity type:Individual
Prefix:
First Name:ERIK
Middle Name:
Last Name:GRANGOOD
Suffix:
Gender:M
Credentials:PTA
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2230 E MITCHELL RD STE B
Mailing Address - Street 2:
Mailing Address - City:PETOSKEY
Mailing Address - State:MI
Mailing Address - Zip Code:49770-6601
Mailing Address - Country:US
Mailing Address - Phone:231-348-1011
Mailing Address - Fax:231-348-6998
Practice Address - Street 1:351 S STRAITS HWY
Practice Address - Street 2:
Practice Address - City:INDIAN RIVER
Practice Address - State:MI
Practice Address - Zip Code:49749-9713
Practice Address - Country:US
Practice Address - Phone:231-238-2302
Practice Address - Fax:231-238-2303
Is Sole Proprietor?:No
Enumeration Date:2025-07-17
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant