| |
331 E Wright Ave, Shepherd, MI 48883-8065 | |
(989) 567-1300 | |
(989) 567-1301 |
Full Name | |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 331 E Wright Ave, Shepherd, Michigan |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013520576 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Matthew Blick |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1750809455 PECOS PAC ID: 3173898889 Enrollment ID: I20171005002809 |
Mailing Address | Practice Location Address |
---|---|
331 E Wright Ave, Shepherd, MI 48883-8065 Ph: () - | 331 E Wright Ave, Shepherd, MI 48883-8065 Ph: (989) 567-1300 |
Matthew Dwayne Blick, PHYSICAL THERAPIST Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 331 E Wright Ave, Shepherd, MI 48883 Phone: 989-567-1300 Fax: 989-567-1301 |