Shawn Michael Black in Traverse City - Physical Therapist
Shawn Michael Black - NPI 1679603575
Shawn Michael Black is a Physical Therapist in Traverse City, Michigan. Shawn Michael Black practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Shawn Michael Black is 1679603575. The last update date is 2008-02-26.
Shawn Michael Black's current location address is 3271 Racquet Club Dr, Traverse City, Michigan. You can contact this provider via phone number 2319329720 and fax number 2319959302. The mailing address for Shawn Michael Black is 3271 Racquet Club Dr, Traverse City, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shawn Michael Black |
|---|---|
| Address | 3271 Racquet Club Dr, Traverse City, Michigan |
| Phone Number | 2319329720 |
| Fax Number | 2319959302 |
| Sole Proprietor | N |
| Credentials | M.S., P.T. |
NPI Number Detail
| NPI Number | 1679603575 |
|---|---|
| Provider Enumeration Date | 2007-03-07 |
| Last Updated Date | 2008-02-26 |
Provider Mailing Address Detail
| Address | 3271 Racquet Club Dr |
|---|---|
| City | Traverse City |
| State | Michigan (MI) |
| Post Code | 496844708 |
| Phone Number | 2319329720 |
| Fax Number | 2319959302 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 5501011285 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Post Comment/ Review Below
What is the unique identifier code issued to Shawn Michael Black by the Centers for Medicare & Medicaid Services (CMS)?
The Shawn Michael Black has been assigned the NPI (National Provider Identifier) 1679603575. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Shawn Michael Black's physical address?
The Shawn Michael Black is physically located at 3271 Racquet Club Dr, in the city of Traverse City, MI, with the postal code 496844708.
What is Shawn Michael Black's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Shawn Michael Black's specialized field of practice is Physical Therapist, and the corresponding taxonomy code that categorizes this area of specialization is 225100000X.
On what date did Shawn Michael Black receive its 1679603575 assignment from the Centers for Medicare & Medicaid Services?
The Shawn Michael Black was assigned its 1679603575 on 2007-03-07, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Shawn Michael Black's details last updated?
The information pertaining to the Shawn Michael Black, including its address, specialty, and other details, was most recently updated on 2008-02-26.
NPI Number: 1669459376
Address: Edificio Medico Profesional Borinquen, Cabo Rojo, PR