MEDICARE: MUNGER PHYSICAL THERAPY, PLC

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	261QP2000X	Physical Therapy Clinic/Center	5501004051	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	65-0-G4-1223-0	OTHER	MI	BLUE CROSS AND BLUS SHIELD OF MICHIGAN

General Provider Information

NPI Number	:	1548428626
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MUNGER PHYSICAL THERAPY, PLC

Provider Business Mailing Address
First Line	:	4351 24TH AVE
Second Line	:	SUITE 1
City	:	FORT GRATIOT
State	:	MI
Zip	:	48059-4506
Country	:	US
Telephone Number	:	810-385-7405
Fax Number	:	810-385-7420

Provider Business Practice Location Address
First Line	:	4351 24TH AVE
Second Line	:	SUITE 1
City	:	FORT GRATIOT
State	:	MI
Zip	:	48059-4506
Country	:	US
Telephone Number	:	810-385-7405
Fax Number	:	810-385-7420

Authorized Official
Title or Position	:	OWNER/ ADMINISTRATOR
Name	:	MR. MARKUS MICHAEL MUNGER
Credential	:	PT
Telephone Number	:	810-385-7405

Provider Enumeration Date	:	05/27/2008
Last Update Date	:	08/04/2008

Similar Medicare Providers

1225219561 — MR. MARKUS M MUNGER
Practice Location Address:

4351 24TH AVE , SUITE 1
FORT GRATIOT, MI
48059-4506

Practice Phone: 810-385-7405
Practice Fax: 810-385-7420

1154568301 — JULIE A STEVENSON PT
Practice Location Address:

4351 24TH AVE , SUITE 1
FORT GRATIOT, MI
48059-4506

Practice Phone: 810-385-7405
Practice Fax: 810-385-7420

1477864726 — MR. JAMES BENJAMIN ACHATZ II PT, MPT
Practice Location Address:

4351 24TH AVE STE 1
FORT GRATIOT, MI
48059-4506

Practice Phone: 810-385-7405
Practice Fax: 810-385-7420

1386991024 — MR. STEVEN PAUL MCMAHAN OTR
Practice Location Address:

4351 24TH AVE STE 1
FORT GRATIOT, MI
48059-4506

Practice Phone: 810-385-7405
Practice Fax:

1205186434 — MRS. CHRISTINE ANN DAVIS LMT, BCTMB
Practice Location Address:

4351 24TH AVE STE 5
FORT GRATIOT, MI
48059-4506

Practice Phone: 810-385-7405
Practice Fax:

1639559487 — DR. DANIEL THOMAS GAFFNEY PT, DPT
Practice Location Address:

4351 24TH AVE
FORT GRATIOT, MI
48059-4506

Practice Phone: 810-384-7405
Practice Fax: 810-385-7420

Directions to “MUNGER PHYSICAL THERAPY, PLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.