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General NPI Number Information
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NPI Number | 1558374991
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Entity Type | Individual
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Provider Name | MICHAEL DUKE PT, CSCS
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Gender | Male
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Dates
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Enumeration Date | 08/15/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 12176 N MO PAC EXPY SUITE D
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City | AUSTIN
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State | TX
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Zip | 78758-2908
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Country | US
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Telephone | 512-977-0000
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Fax |
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Provider Business Mailing Address
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Address Line | 8017 MANX DR
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City | ROUND ROCK
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State | TX
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Zip | 78681-3864
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Country | US
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Telephone | 512-244-3344
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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