Michelle Zultak, | |
1250 E Michigan Ave, Grayling, MI 49738-7074 | |
(989) 348-0314 | |
(989) 348-0549 |
Full Name | Michelle Zultak |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 1250 E Michigan Ave, Grayling, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174915573 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 5501017114 (Michigan) | Primary |
Provider Name | Northsport Physical Therapy & Rehabilitation P C |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1003253170 PECOS PAC ID: 5294902508 Enrollment ID: O20131212000282 |
Mailing Address | Practice Location Address |
---|---|
Michelle Zultak, 1250 E Michigan Ave, Grayling, MI 49738-7074 Ph: (989) 348-0314 | Michelle Zultak, 1250 E Michigan Ave, Grayling, MI 49738-7074 Ph: (989) 348-0314 |
Mr. Romeo Cobcobo Buclay, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 331 Meadows Dr, Grayling, MI 49738 Phone: 989-348-2801 | |
Dylan Honsinger, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1250 E Michigan Ave, Grayling, MI 49738 Phone: 989-348-0314 | |
Seth David Lashuay, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1250 E Michigan Ave, Grayling, MI 49738 Phone: 989-348-0314 | |
Laura Schweier, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1100 E Michigan Ave, Grayling, MI 49738 Phone: 989-348-0314 | |
Eric Bradley South, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1100 E Michigan Ave, Grayling, MI 49738 Phone: 989-348-5461 | |
Mrs. Lynne Moran, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1107 E Michigan Ave # 1, Grayling, MI 49738 Phone: 989-348-3027 Fax: 989-348-4246 |