Individual
MR. MICHAEL T HIMMELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
225 PHYSICIANS PARK, SUITE 101, POPLAR BLUFF, MO 63901-3956
(573) 778-9348
(573) 686-4870
Mailing address
2725 N WESTWOOD BLVD, SUITE 17, POPLAR BLUFF, MO 63901-2346
(573) 686-4277
(573) 686-4406
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2011037087
MO
225100000X
Physical Therapist
PT2966
AR
2251S0007X
Sports Physical Therapist
2011037087
—
2251S0007X
Sports Physical Therapist
PT2966
AR
2251X0800X
Orthopedic Physical Therapist
2011037087
—
2251X0800X
Orthopedic Physical Therapist
PT2966
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164036721
—
AR
Enumeration date
05/17/2007
Last updated
10/29/2013
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