| Doctor Name: | MICHAEL A COALSON |
| NPI Number: | 1730247263 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | L.P.T |
| License Number: | |
| Business Practice Address: | 400 N Caldwell St Staunton, IL - 620881423 |
| Business Phone Number: | 6186354273 |
| Business Fax Number: | 6186354272 |
| Mailing Address: | 1719 Clawson St, ALTON |
| State: | IL |
| Postal Code: | 620024702 |
| Phone Number: | 1618462113 |
| Fax Number: | 1618462373 |
| NPI Enumeration Date: | 12/05/2006 |
| NPI Last Update Date: | 03/04/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| 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 |