Individual
MR. MICHAEL HARVEY CHURCHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
6410 S KINGS RANCH RD, SUITE 2, GOLD CANYON, AZ 85118-7352
(480) 983-2259
(480) 983-2259
Mailing address
6410 S KINGS RANCH RD, SUITE 2, GOLD CANYON, AZ 85118-7352
(480) 983-2259
(480) 983-2259
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
378
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014283101
—
AZ
01
—
1Z1387
HEALTHNET
AZ
01
—
670001707
RR MEDICARE
AZ
01
—
7092239
AETNA
AZ
01
—
860681342
COMMERCIAL
—
Enumeration date
10/07/2005
Last updated
05/03/2026
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