THUNDER BAY THERAPY & SPORTS MEDICINE NPI 1003203605

NPI Information

NPI: 1003203605
Provider Name: THUNDER BAY THERAPY & SPORTS MEDICINE
Classification: Clinic/Center - 261QX0100X
Entity Type: Organization

Specialization: Occupational Medicine

CLIA Number: 23D0912384

Address:
348 LONG RAPIDS PLZ
ALPENA, MI
ZIP 49707
Phone: (989) 358-8086
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THUNDER BAY THERAPY & SPORTS MEDICINE is an occupational medicine clinic center in Alpena, MI. THUNDER BAY THERAPY & SPORTS MEDICINE NPI is 1003203605. The provider is registered as an organization entity type.

The provider's business location address is:

348 LONG RAPIDS PLZ
ALPENA, MI
ZIP 49707-374
Phone: (989) 358-8086
Fax: (989) 354-2253

The provider's authorized official is Kristine Ernst .
The authorized official title is Occupational Therapist and has the following contact phone number (313) 282-9304.

The CLIA number assigned to this NPI record is 23D0912384 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 4/21/2015 and was last updated on 4/21/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QX0100X	Clinic/Center	Occupational Medicine	5201009050	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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