Individual
MR. JOSEPH ALAN MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
309 S EUCLID AVE, BAY CITY, MI 48706-2911
(989) 402-1438
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501011065
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5501011065
STATE LICENSE NUMBER
MI
01
—
N75070019
MEDICARE PTAN
MI
Enumeration date
05/02/2007
Last updated
09/12/2024
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