Individual
MR. MICHAEL BRENT PURVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
100B PROFESSIONAL LN, ENTERPRISE, AL 36330-2280
(334) 393-7500
Mailing address
100 PROFESSIONAL LN STE B, ENTERPRISE, AL 36330-2392
(334) 393-7500
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051509938
BCBS PROVIDER NUMBER
AL
Enumeration date
12/12/2006
Last updated
11/28/2023
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