Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MICHAEL G VAN PEVENAGE, RPT
ActiveMR. MICHAEL G VAN PEVENAGE, RPT is a Physical Therapy Assistant healthcare provider located in DAVENPORT, Washington. NPI 1184789703 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · DAVENPORT, WA
Registration Details
- NPI Number
- 1184789703
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 26, 2006 (19.45113096916 yrs)
- Last Updated
- Oct 19, 2012
- License
-
PT00006484 (WA)
Practice Information
- Address
-
506 MORGAN STREETDAVENPORT, WA, 99122Browse WA providers · Browse ZIP 99122
- Phone
- 5097257325
- Fax
- 5097255325
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in DAVENPORT, WA
| Name | Credential | NPI |
|---|---|---|
| MRS. MARY JO JEFFREY | PHYSICAL THERAPIST | 1699109512 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.