Healthcare Provider Details

I. General information

NPI: 1023322658
Provider Name (Legal Business Name): ROBIN LYNN WEBSTER DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ROBIN LYNN WITHERELL DPT

II. Dates (important events)

Enumeration Date: 08/06/2010
Last Update Date: 08/04/2025
Certification Date: 08/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2973 SPRINGPORT RD
JACKSON MI
49201-9060
US

IV. Provider business mailing address

2122 YORK RD STE 300
OAK BROOK IL
60523-1925
US

V. Phone/Fax

Practice location:
  • Phone: 517-435-3461
  • Fax: 517-768-9951
Mailing address:
  • Phone: 630-575-6200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number5501015290
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: