MEDICARE: MICHAEL HALL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	224Z00000X	Occupational Therapy Assistant

General Provider Information

NPI Number	:	1487506341
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL HALL

Provider Business Mailing Address
First Line	:	7833 N 21ST AVE
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85021-6807
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	211 7TH AVE W
Second Line	:
City	:	BUCKEYE
State	:	AZ
Zip	:	85326-1020
Country	:	US
Telephone Number	:	623-386-4487
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/12/2026
Last Update Date	:	02/12/2026

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Directions to “ MICHAEL HALL ” Practice Location

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