Healthcare Provider Details

I. General information

NPI: 1003231671
Provider Name (Legal Business Name): GLOBAL PHYSICAL THERAPY AND SPINE SPECIALISTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/19/2014
Last Update Date: 02/20/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12235 S SAGINAW ST
GRAND BLANC MI
48439-1471
US

IV. Provider business mailing address

12235 S SAGINAW ST
GRAND BLANC MI
48439-1471
US

V. Phone/Fax

Practice location:
  • Phone: 810-919-9459
  • Fax: 810-636-7174
Mailing address:
  • Phone: 810-919-9459
  • Fax: 810-636-7174

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number5501005683
License Number StateMI

VIII. Authorized Official

Name: RALPH MCFARLAND
Title or Position: PRESIDENT
Credential: PT
Phone: 810-919-6459