Individual
MR. CORY D ROGOTZKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2136 ROBINSON RD STE 1, JACKSON, MI 49203-3558
(517) 750-2540
(517) 990-6212
Mailing address
3073 SHIRLEY DR, JACKSON, MI 49201-7010
(517) 990-6211
(517) 990-6212
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501016325
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0C80228
BCBS
—
Enumeration date
05/28/2013
Last updated
02/10/2025
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