Axtell, Timothy Todd

Axtell, Timothy Todd is an individual health care provider with primary practice located at 3051 Kiesel Rd , Bay City MI 48706-2449. 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. Axtell, Timothy Todd can be contacted via phone (989) 778-2839.

Contact Information

Primary practice address
3051 Kiesel Rd Bay City MI 48706-2449
Phone: (989) 778-2839
Fax: (989) 778-2898
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 5501009565 Michigan

Profile Details

NPI number 1861428328
LBN Legal business name Axtell, Timothy Todd
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2006
Last updated Jul 8th, 2020 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1861428328 NPPES
Michigan Other 650B610090 BCBS ID#

Popular Providers