Healthcare Provider Details

I. General information

NPI: 1700435179
Provider Name (Legal Business Name): MICHAEL GEORGE DAY
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: GEORGE MICHAEL DAY

II. Dates (important events)

Enumeration Date: 09/09/2019
Last Update Date: 09/09/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

147 N BRENT ST
VENTURA CA
93003-2809
US

IV. Provider business mailing address

1708 COYOTE RD
PRESCOTT AZ
86303-5348
US

V. Phone/Fax

Practice location:
  • Phone: 805-948-5011
  • Fax:
Mailing address:
  • Phone: 602-321-8081
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: