Individual
MICHAEL R EDGINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
301 N ANKENY BLVD, ANKENY, IA 50023-1730
(800) 974-4378
(630) 515-1536
Mailing address
24014 W RENWICK RD UNIT 206, PLAINFIELD, IL 60544-8711
(800) 974-4378
(630) 515-1536
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
12277
AZ
225100000X
Physical Therapist
Primary
130679
IA
225100000X
Physical Therapist
CP042791T
NE
Other
Enumeration date
06/10/2016
Last updated
03/17/2025
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