Mann, Michael T

Mann, Michael T is an individual health care provider with primary practice located at 2448 Merritt Creek Loop , Coeur D'Alene ID 83814-4953. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Mann, Michael T can be contacted via phone (208) 664-2901.

Contact Information

Primary practice address
2448 Merritt Creek Loop Coeur D'Alene ID 83814-4953
Phone: (208) 664-2901
Fax: (208) 667-9266
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT-1800 Idaho

Profile Details

NPI number 1962487371
LBN Legal business name Mann, Michael T
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2005
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962487371 NPPES
Idaho Other 000010153087 REGENCE BLUE SHIELD
Idaho Other TD355 REGENCE BLUE SHIELD

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