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GREAT LAKES THERAPY HOUSECALLS P.C. NPI 1093069734


NPI Information

NPI: 1093069734
Provider Name: GREAT LAKES THERAPY HOUSECALLS, P.C.

Doing Business As: GREAT LAKES PHYSICAL THERAPY CENTER

Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
9731 E CHERRY BEND RD
STE A
TRAVERSE CITY, MI
ZIP 49684
Phone: (231) 941-8100
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GREAT LAKES THERAPY HOUSECALLS, P.C. is a rehabilitation clinic center in Traverse City, MI. GREAT LAKES THERAPY HOUSECALLS, P.C. NPI is 1093069734. The provider is registered as an organization entity type.
The provider Is Doing Business As Great Lakes Physical Therapy Center.

The provider's business location address is:

9731 E CHERRY BEND RD
STE A
TRAVERSE CITY, MI
ZIP 49684-621
Phone: (231) 941-8100
Fax: (231) 995-9297

The provider's authorized official is James Harvey .
The authorized official title is President / Administrator and has the following contact phone number (231) 941-8100.

The enumeration date for this NPI number is 11/2/2012 and was last updated on 11/9/2022.


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
1261QP2000XClinic/CenterPhysical TherapyNo
2261QR0400XClinic/CenterRehabilitationYes

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

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