Individual
DR. MICHAEL JAMES TANKOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, ATC
Contact information
Practice address
2817 ROCK MERRITT AVE, WOMACK ARMY MEDICAL CENTER, FORT BRAGG, NC 28310-0001
(910) 907-8922
(910) 907-6069
Mailing address
2817 ROCK MERRITT AVE, WOMACK ARMY MEDICAL CENTER, FORT BRAGG, NC 28310-0001
(910) 907-8922
(910) 907-6069
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
P23047
NC
2251S0007X
Sports Physical Therapist
Primary
PT 60293633
WA
2255A2300X
Athletic Trainer
A1 60294852
WA
Other
Enumeration date
05/11/2013
Last updated
02/23/2026
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