Individual
MYA EISENGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4045 W ROYAL DR, TRAVERSE CITY, MI 49684-8965
(231) 935-0900
(833) 471-4026
Mailing address
4045 W ROYAL DR, TRAVERSE CITY, MI 49684-8965
(231) 935-0900
(231) 935-0312
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502008961
MI
Other
Enumeration date
05/28/2026
Last updated
05/28/2026
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