Doctor Name: | MICHAEL ENNEKING |
NPI Number: | 1518008952 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 05004852A |
Business Practice Address: | 993 N Michigan Ave Greensburg, IN - 472401487 |
Business Phone Number: | 8126635072 |
Business Fax Number: | 8126626619 |
Mailing Address: | 321 W Bruce St Ste B, Po Box 1192 SEYMOUR |
State: | IN |
Postal Code: | 472742319 |
Phone Number: | 8125227887 |
Fax Number: | 8125227326 |
NPI Enumeration Date: | 02/09/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 05004852A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
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 |