Doctor Name: | MR. MICHAEL TIMOTHY ANDERSON |
NPI Number: | 1114237245 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 0801819438 |
Business Practice Address: | 255 W Moana Ln Ste 104 Reno, NV - 895094942 |
Business Phone Number: | 7755250270 |
Business Fax Number: | |
Mailing Address: | 2840 Albazano Dr, SPARKS |
State: | NV |
Postal Code: | 894367050 |
Phone Number: | 7752326321 |
Fax Number: | |
NPI Enumeration Date: | 10/07/2010 |
NPI Last Update Date: | 11/23/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225400000X |
License Number: | 0801819438 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NV |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Rehabilitation Practitioner |
Taxonomy Specialization: | |
Taxonomy Definition: | A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |