Individual
TAYLOR SPITZLEY PUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
550 MUNSON AVE, TRAVERSE CITY, MI 49686-3580
(231) 935-8600
Mailing address
6298 ELKVIEW DR, WILLIAMSBURG, MI 49690-9723
(432) 638-9029
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
5501018395
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5501018395
STATE OF MICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS
MI
Enumeration date
11/30/2022
Last updated
11/30/2022
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