Provider Demographics
NPI:1396880183
Name:YORK, MICHAEL MCFARLANE (ATC)
Entity type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:MCFARLANE
Last Name:YORK
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:33 VALLEY AVE NW
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49504-5464
Mailing Address - Country:US
Mailing Address - Phone:616-890-0356
Mailing Address - Fax:616-866-7128
Practice Address - Street 1:4100 KROES RD.
Practice Address - Street 2:
Practice Address - City:ROCKFORD
Practice Address - State:MI
Practice Address - Zip Code:49341-0000
Practice Address - Country:US
Practice Address - Phone:616-866-6040
Practice Address - Fax:616-866-7128
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer