Individual
MR. JAMES P MICHALIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
6700 BAUM DR, STE 19, KNOXVILLE, TN 37919-7334
(865) 588-4108
(865) 474-1521
Mailing address
6700 BAUM DR, STE 19, KNOXVILLE, TN 37919-7334
(865) 588-4108
(865) 474-1521
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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