Organization
MICHAEL THOMAS SHOEMAKE
Active
Other names
Momentum Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL THOMAS SHOEMAKE PT (PRESIDENT)
(847) 996-0650
Entity
Organization
Contact information
Practice address
1017 W PARK AVE, SUITE B, LIBERTYVILLE, IL 60048-2502
(847) 997-0650
(815) 385-5753
Mailing address
1017 W PARK AVE, SUITE B, LIBERTYVILLE, IL 60048-2502
(847) 996-0650
(815) 385-5753
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
12/18/2006
Last updated
12/07/2007
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