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NPI Code Detail

MEDICARE: DR. SUMMER MICHELLE LINTHICUM D.P.T.

MEDICARE:  DR. SUMMER MICHELLE LINTHICUM  D.P.T.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist1179533TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11179533OTHERTXSTATE LICENSE

General Provider Information

NPI Number : 1104076520
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SUMMER MICHELLE LINTHICUM D.P.T.
Provider Business Mailing Address
First Line : 5072 W PLANO PKWY
Second Line : 100
City : PLANO
State : TX
Zip : 75093-4476
Country : US
Telephone Number : 972-818-3888
Fax Number : 972-818-3889
Provider Business Practice Location Address
First Line : 5072 W PLANO PKWY
Second Line : 100
City : PLANO
State : TX
Zip : 75093-4476
Country : US
Telephone Number : 972-818-3888
Fax Number : 972-818-3889
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2008
Last Update Date : 09/22/2008

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Directions to “ DR. SUMMER MICHELLE LINTHICUM D.P.T.” Practice Location

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