Doctor Name: | MICHAEL RIVAS GARAYGAY |
NPI Number: | 1962644765 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 070-008459 |
Business Practice Address: | 439 S Kirkwood Rd Ste 204 Kirkwood, MO - 631226100 |
Business Phone Number: | 3148226297 |
Business Fax Number: | 3148226288 |
Mailing Address: | 711 Stonewood Bend Dr, LAKE ST LOUIS |
State: | MO |
Postal Code: | 633674064 |
Phone Number: | 6362652562 |
Fax Number: | 6365610966 |
NPI Enumeration Date: | 03/25/2009 |
NPI Last Update Date: | 03/25/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 070-008459 |
Healthcare Provider Taxonomy: (Secondary) | N |
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 |