Healthcare Provider Details

I. General information

NPI: 1669309282
Provider Name (Legal Business Name): NATHAN MICHAEL FURST
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

406 W GENESEE ST
FRANKENMUTH MI
48734-1335
US

IV. Provider business mailing address

1639 WILLOW CREEK DR
CARO MI
48723-8932
US

V. Phone/Fax

Practice location:
  • Phone: 989-778-6771
  • Fax:
Mailing address:
  • Phone: 989-325-1940
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: