Healthcare Provider Details

I. General information

NPI: 1710955356
Provider Name (Legal Business Name): MICHAEL W HUFFMAN LPT
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 03/09/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1004 HARRISON CITY EXPORT RD BOHINCE BLDG. SUITE 3
HARRISON CITY PA
15636-1340
US

IV. Provider business mailing address

1600 PENNSYLVANIA AVE
IRWIN PA
15642-3928
US

V. Phone/Fax

Practice location:
  • Phone: 724-744-7200
  • Fax: 724-744-7208
Mailing address:
  • Phone: 724-864-5263
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT-007113-L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: