Individual
MR. JOSEPH ALAN MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
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
Update your record
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