| Doctor Name: | DR. ERIC CONNELLY MICHALUK |
| NPI Number: | 1134596182 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | P.T., D.P.T. |
| License Number: | 25629 |
| Business Practice Address: | 11212 Sunrise Blvd E #202 Puyallup, WA - 983748847 |
| Business Phone Number: | 2534350360 |
| Business Fax Number: | 2534350325 |
| Mailing Address: | 4215 S 30th St, Apt #g245 TACOMA |
| State: | WA |
| Postal Code: | 984093246 |
| Phone Number: | 2402813718 |
| Fax Number: | |
| NPI Enumeration Date: | 08/25/2015 |
| NPI Last Update Date: | 04/14/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 25629 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MD |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |