| Doctor Name: | MICHAEL PRIESTAS |
| NPI Number: | 1427407915 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPT |
| License Number: | PT003633 |
| Business Practice Address: | 18501 Maugans Ave Hagerstown, MD - 217422990 |
| Business Phone Number: | 3017331700 |
| Business Fax Number: | |
| Mailing Address: | 7310 Ritchie Hwy, Suite 500 GLEN BURNIE |
| State: | MD |
| Postal Code: | 210613065 |
| Phone Number: | 4107664047 |
| Fax Number: | |
| NPI Enumeration Date: | 06/06/2016 |
| NPI Last Update Date: | 06/08/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT003633 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WV |
| 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 |