Individual
THOMAS E MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1333 SPRING ST, PETOSKEY, MI 49770-8720
(231) 347-6636
(231) 347-2886
Mailing address
PO BOX 487, PETOSKEY, MI 49770-0487
(231) 347-6636
(231) 347-2886
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502002264
MI
Other
Enumeration date
01/02/2012
Last updated
01/02/2012
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