Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL LAVENDER, DPT, PT
ActiveMICHAEL LAVENDER, DPT, PT is a Physical Therapy Assistant healthcare provider located in BRUNSWICK, Georgia. NPI 1740792613 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · BRUNSWICK, GA
Registration Details
- NPI Number
- 1740792613
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 31, 2017 (8.7582792823077 yrs)
- Last Updated
- Oct 14, 2019
- Licenses
-
041965 (NY)PT013932 (GA)
Practice Information
- Address
-
4204 CORAL PARK DRBRUNSWICK, GA, 315203016Browse GA providers · Browse ZIP 31520
- Phone
- 9122809205
- Fax
- 9122800022
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in BRUNSWICK, GA
| Name | Credential | NPI |
|---|---|---|
| BRIAN C BOYD | PT | 1841297017 |
| DEREK E RHODES | PT | 1689603029 |
| GRAHAM ALEXANDER LAIDLER | PT | 1922165794 |
| MR. SCOTT ANDREW LEDERMAN | P.T. | 1750434957 |
| MRS. WENDY TESTON ALBERSON | — | 1215083670 |
| MR. CHARLES MONTGOMERY HENDERSON | PT | 1922154418 |
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.