Provider Demographics
NPI:1295525335
Name:BITTNER, MACY (PT, DPT)
Entity type:Individual
Prefix:
First Name:MACY
Middle Name:
Last Name:BITTNER
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25510 FOUNTAIN PARK DR W APT 280
Mailing Address - Street 2:
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48375-2562
Mailing Address - Country:US
Mailing Address - Phone:989-965-1170
Mailing Address - Fax:
Practice Address - Street 1:25510 FOUNTAIN PARK DR W APT 280
Practice Address - Street 2:
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48375-2562
Practice Address - Country:US
Practice Address - Phone:989-965-1170
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-12
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist