| Doctor Name: | MR. MICHAEL D PENNINGTON |
| NPI Number: | 1912921909 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.S.P.T. |
| License Number: | 4031 |
| Business Practice Address: | 331 S. Pacific Hwy., Suite A Talent, OR - 975406650 |
| Business Phone Number: | 5415352551 |
| Business Fax Number: | 5415351417 |
| Mailing Address: | 331 S. Pacific Hwy., Suite A, TALENT |
| State: | OR |
| Postal Code: | 975406650 |
| Phone Number: | 5415352551 |
| Fax Number: | 5415351417 |
| NPI Enumeration Date: | 07/26/2006 |
| NPI Last Update Date: | 04/02/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 4031 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| 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 |