| Doctor Name: | MICHAEL HASE |
| NPI Number: | 1649447590 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PTA |
| License Number: | AT 5847 |
| Business Practice Address: | 246 Spruce St Gridley, CA - 959482216 |
| Business Phone Number: | 5308466226 |
| Business Fax Number: | |
| Mailing Address: | 246 Spruce St, GRIDLEY |
| State: | CA |
| Postal Code: | 959482216 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 05/09/2008 |
| NPI Last Update Date: | 05/09/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251G0304X |
| License Number: | AT 5847 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Geriatrics |
| Taxonomy Definition: | |