Individual
MR. JAMES P MICHALIK
Active
Individual
MR. JAMES P MICHALIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT634
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0025925
BLUE CROSS BLUE SHIELD
TN
01
—
0166930001
DURABLE MED EQUIP MEDICAR
TN
05
—
3654677
—
TN
01
—
650008553
RAILROAD MEDICARE
TN
01
—
TN0101
JOHN DEERE
TN
Enumeration date
06/29/2005
Last updated
05/18/2012
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