Provider Demographics
NPI:1154699817
Name:ZAHN, MICHAEL EDWARD (PT, OCS, OMPT)
Entity type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:EDWARD
Last Name:ZAHN
Suffix:
Gender:M
Credentials:PT, OCS, OMPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 MAYFIELD LN
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48640-2958
Mailing Address - Country:US
Mailing Address - Phone:906-221-3775
Mailing Address - Fax:
Practice Address - Street 1:317 E WACKERLY ST
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:MI
Practice Address - Zip Code:48642-7062
Practice Address - Country:US
Practice Address - Phone:989-832-9300
Practice Address - Fax:989-832-9301
Is Sole Proprietor?:No
Enumeration Date:2011-12-09
Last Update Date:2024-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501010056225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist