Healthcare Provider Details

I. General information

NPI: 1548382682
Provider Name (Legal Business Name): MR. MICHAEL C. LOVGREN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/06/2007
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

706 EKASTOWN RD
SARVER PA
16055-9751
US

IV. Provider business mailing address

909 TALISMAN LN
NATRONA HEIGHTS PA
15065-1889
US

V. Phone/Fax

Practice location:
  • Phone: 724-524-1557
  • Fax: 724-524-1570
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPTO16969
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: