Doctor Name: | MR. MITCHELL LELAND SHAVER |
NPI Number: | 1811094600 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MPT |
License Number: | 5501010475 |
Business Practice Address: | 1375 S Lapeer Rd Suite 209 Lake Orion, MI - 483601421 |
Business Phone Number: | 2488140500 |
Business Fax Number: | 2488140509 |
Mailing Address: | 5300 Dillon Dr, WHITE LAKE |
State: | MI |
Postal Code: | 483834101 |
Phone Number: | 2488892967 |
Fax Number: | |
NPI Enumeration Date: | 09/20/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5501010475 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
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 |