Cantrell, Michael G
Cantrell, Michael G is an individual health care provider with primary practice located at 405 Osigian Blvd The Cantrell Center For Physical Therapy & Sports Med, Warner Robins GA 31088. 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. Cantrell, Michael G can be contacted via phone (478) 953-3535.Contact Information
Primary practice address
405 Osigian Blvd The Cantrell Center For Physical Therapy & Sports Med
Warner Robins GA 31088
Phone: (478) 953-3535
Fax: (478) 953-0353
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT002850 | Georgia |
Profile Details
| NPI number | 1861423451 |
|---|---|
| LBN Legal business name | Cantrell, Michael G |
| Credentials | Master of Physical Therapy (MPT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 5th, 2006 |
| Last updated | Oct 14th, 2011 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861423451 | NPPES |
| Georgia | Other | 5290632 | BCBS |
| Georgia | MEDICAID | 000823963A | BCBS |
Popular Providers
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