Michael Mccusker in Minong - Physical Therapist
Michael Mccusker - NPI 1386833051
Michael Mccusker is a Physical Therapist in Minong, Wisconsin. Michael Mccusker practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Michael Mccusker is 1386833051. The last update date is 2008-04-08.
Michael Mccusker's current location address is 600 W Shell Creek Rd, Minong, Wisconsin. You can contact this provider via phone number 7154662369 and fax number 7154662160. The mailing address for Michael Mccusker is 600 W Shell Creek Rd, Minong, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Mccusker |
|---|---|
| Address | 600 W Shell Creek Rd, Minong, Wisconsin |
| Phone Number | 7154662369 |
| Fax Number | 7154662160 |
| Sole Proprietor | Y |
| Credentials | R.P.T. |
NPI Number Detail
| NPI Number | 1386833051 |
|---|---|
| Provider Enumeration Date | 2007-10-18 |
| Last Updated Date | 2008-04-08 |
Provider Mailing Address Detail
| Address | 600 W Shell Creek Rd |
|---|---|
| City | Minong |
| State | Wisconsin (WI) |
| Post Code | 548599302 |
| Phone Number | 7154662369 |
| Fax Number | 7154662160 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 3070024 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| WI0003647 | TRICARE CLAIMS | ||
| 391612886013 | BCBSWI |
Post Comment/ Review Below
What is the Michael Mccusker's 1386833051?
The Michael Mccusker's NPI (National Provider Identifier) Number is 1386833051. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Michael Mccusker?
The Michael Mccusker is situated at 600 W Shell Creek Rd, in the city of Minong, state of WI, with the zip code 548599302.
What is the area of specialization for Michael Mccusker, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Michael Mccusker is Physical Therapist, and the corresponding taxonomy code that categorizes this area of expertise is 225100000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1386833051 to Michael Mccusker?
The Michael Mccusker received its 1386833051 assignment from the Centers for Medicare & Medicaid Services on 2007-10-18.
As of what date were the details pertaining to Michael Mccusker last refreshed?
The information related to the Michael Mccusker, including its address, specialty, and other relevant details, was last updated on 2008-04-08.