MEDICARE: MICHAEL T STUDER PT, DPT, FAPTA

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	2706	OR
2	2251N0400X	Neurology Physical Therapist	02706	OR
3	2251N0400X	Neurology Physical Therapist	4810	NV
4	225100000X	Physical Therapist	4810	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1811971815
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL T STUDER PT, DPT, FAPTA

Provider Business Mailing Address
First Line	:	2650 N TENAYA WAY STE 180
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-1110
Country	:	US
Telephone Number	:	702-240-2952
Fax Number	:	702-243-0482

Provider Business Practice Location Address
First Line	:	2650 N TENAYA WAY STE 180
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-1110
Country	:	US
Telephone Number	:	702-240-2952
Fax Number	:

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

Provider Enumeration Date	:	12/02/2005
Last Update Date	:	01/03/2023

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Directions to “ MICHAEL T STUDER PT, DPT, FAPTA” Practice Location

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