Doctor Name: | MICHAEL YONG SHIN |
NPI Number: | 1851609036 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.P.T |
License Number: | PT010087 |
Business Practice Address: | 4350 Peachtree Industrial Blvd 500e Peachtree Corners, GA - 300711663 |
Business Phone Number: | 6787185240 |
Business Fax Number: | 8448603356 |
Mailing Address: | 4350 Peachtree Industrial Blvd 500e, PEACHTREE CORNERS |
State: | GA |
Postal Code: | 300711663 |
Phone Number: | 6787185240 |
Fax Number: | 8448603356 |
NPI Enumeration Date: | 09/21/2010 |
NPI Last Update Date: | 08/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT010087 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
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 |