Individual
MR. MICHAEL ALLEN MCEACHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT DPT
Contact information
Practice address
9097 E DESERT COVE DR, SUITE 110, SCOTTSDALE, AZ 85260-6279
(480) 860-4298
(480) 860-0356
Mailing address
9097 E DESERT COVE, SUITE 110, SCOTTSDALE, AZ 85260-6276
(480) 860-4298
(480) 860-0356
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7368
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00402335
RAILROAD MEDICARE PTAN
AZ
Enumeration date
10/13/2006
Last updated
04/08/2008
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