| Doctor Name: | MR. MICHAEL D TEATER |
| NPI Number: | 1508944554 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT, DPT, OCS |
| License Number: | PT10121 |
| Business Practice Address: | 1905 Se 192nd Ave Suite 205 Camas, WA - 986077415 |
| Business Phone Number: | 3602105440 |
| Business Fax Number: | 3602107731 |
| Mailing Address: | 1905 Se 192nd Ave, Suite 205 CAMAS |
| State: | WA |
| Postal Code: | 986077415 |
| Phone Number: | 3602105440 |
| Fax Number: | 3602107731 |
| NPI Enumeration Date: | 11/01/2006 |
| NPI Last Update Date: | 02/12/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT10121 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| 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 |