MEDICARE: MICHAEL T LENZI 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
1	225200000X	Physical Therapy Assistant	TEIOO1492	PA

General Provider Information

NPI Number	:	1932907201
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL T LENZI PTA

Provider Business Mailing Address
First Line	:	880 W LIBERTY ST STE A
Second Line	:
City	:	HUBBARD
State	:	OH
Zip	:	44425-1753
Country	:	US
Telephone Number	:	724-977-3524
Fax Number	:

Provider Business Practice Location Address
First Line	:	880 W LIBERTY ST STE A
Second Line	:
City	:	HUBBARD
State	:	OH
Zip	:	44425-1753
Country	:	US
Telephone Number	:	724-977-3524
Fax Number	:

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

Provider Enumeration Date	:	03/04/2025
Last Update Date	:	03/04/2025

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Directions to “ MICHAEL T LENZI PTA” Practice Location

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