| Doctor Name: | MR. CORY D ROGOTZKE |
| NPI Number: | 1154768463 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPT |
| License Number: | 5501016325 |
| Business Practice Address: | 2136 Robinson Rd Suite 1 Jackson, MI - 492033557 |
| Business Phone Number: | 5177502540 |
| Business Fax Number: | 5177502044 |
| Mailing Address: | 206 Page Ave, JACKSON |
| State: | MI |
| Postal Code: | 492012418 |
| Phone Number: | 5177836670 |
| Fax Number: | 5177835310 |
| NPI Enumeration Date: | 05/28/2013 |
| NPI Last Update Date: | 05/28/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 5501016325 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |