| Doctor Name: | MICHAEL MCCORMICK |
| NPI Number: | 1356710636 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT, DPT |
| License Number: | 1195438 |
| Business Practice Address: | 5141 E. I-20, Service Road North Willow Park, TX - 76087 |
| Business Phone Number: | 8174411971 |
| Business Fax Number: | 8174411266 |
| Mailing Address: | 879 Eureka St, WEATHERFORD |
| State: | TX |
| Postal Code: | 760865807 |
| Phone Number: | 8175968751 |
| Fax Number: | 8175962702 |
| NPI Enumeration Date: | 09/17/2015 |
| NPI Last Update Date: | 09/17/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 1195438 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| 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 |