Doctor Name: | MR. MICHAEL HARVEY CHURCHMAN |
NPI Number: | 1538157193 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 378 |
Business Practice Address: | 6410 S Kings Ranch Rd Suite 2 Gold Canyon, AZ - 851187352 |
Business Phone Number: | 4809832259 |
Business Fax Number: | 4809832259 |
Mailing Address: | 6410 S Kings Ranch Rd, Suite 2 GOLD CANYON |
State: | AZ |
Postal Code: | 851187352 |
Phone Number: | 4809832259 |
Fax Number: | 4809832259 |
NPI Enumeration Date: | 10/07/2005 |
NPI Last Update Date: | 10/02/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 378 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
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 |