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NPI Code Detail

MEDICARE: MICHAEL JAMES DROST PTA

MEDICARE: MICHAEL JAMES DROST PTA
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
1225200000XPhysical Therapy Assistant2037356TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12037356OTHERTXTX BOARD OF PHYSICAL THERAPY EXAMINERS

General Provider Information

NPI Number : 1447731583
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL JAMES DROST PTA
Provider Business Mailing Address
First Line : 11127 CIRCLE DR
Second Line :
City : AUSTIN
State : TX
Zip : 78736-7767
Country : US
Telephone Number : 512-288-8844
Fax Number :
Provider Business Practice Location Address
First Line : 11127 CIRCLE DR
Second Line :
City : AUSTIN
State : TX
Zip : 78736-7767
Country : US
Telephone Number : 512-288-8844
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/27/2018
Last Update Date : 08/27/2018

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