MEDICARE: ANNAH THOMAS-DULL

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
1	2251X0800X	Orthopedic Physical Therapist	5501304202	MI

General Provider Information

NPI Number	:	1255279352
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNAH THOMAS-DULL

Provider Business Mailing Address
First Line	:	6779 RUTLAND RD
Second Line	:
City	:	TEMPERANCE
State	:	MI
Zip	:	48182-1285
Country	:	US
Telephone Number	:	517-577-0293
Fax Number	:

Provider Business Practice Location Address
First Line	:	5660 N ADRIAN HWY
Second Line	:
City	:	ADRIAN
State	:	MI
Zip	:	49221-8318
Country	:	US
Telephone Number	:	517-577-0293
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/23/2026
Last Update Date	:	03/23/2026

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Directions to “ ANNAH THOMAS-DULL ” Practice Location

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