MEDICARE: MICHAEL RINALDI DPT

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	225100000X	Physical Therapist	5501010034	MI

General Provider Information

NPI Number	:	1265416523
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL RINALDI DPT

Provider Business Mailing Address
First Line	:	944 WASHINGTON AVE
Second Line	:
City	:	BREMERTON
State	:	WA
Zip	:	98337-1848
Country	:	US
Telephone Number	:	360-689-7718
Fax Number	:

Provider Business Practice Location Address
First Line	:	USS JOHN C STENNIS
Second Line	:	BOX 67
City	:	FPO
State	:	AP
Zip	:	96615-2874
Country	:	US
Telephone Number	:	360-627-2562
Fax Number	:

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

Provider Enumeration Date	:	12/01/2005
Last Update Date	:	09/12/2008

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