Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK HENRY EVENINGRED, M.P.T.
ActiveMARK HENRY EVENINGRED, M.P.T. is a Physical Therapy Assistant healthcare provider located in MACOMB, Michigan. NPI 1861592784 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · MACOMB, MI
Registration Details
- NPI Number
- 1861592784
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 22, 2006 (19.853491129926 yrs)
- Last Updated
- Oct 16, 2014
- License
-
5501005092 (MI)
Practice Information
- Address
-
17900 23 MILE RDSTE 401MACOMB, MI, 480441161Browse MI providers · Browse ZIP 48044
- Phone
- 5868689040
- Fax
- 5868689013
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in MACOMB, MI
| Name | Credential | NPI |
|---|---|---|
| CRAIG MILLER | — | 1891701934 |
| MICHELLE ANN MARLOW | P.T. | 1417055278 |
| GLENDA GUCOR-VERGARA | R.P.T. | 1558440727 |
| MS. AMY LYNN MCCALLUMORE | DPT, OMPT | 1851467542 |
| MRS. MONIKA MARIA PEDDYCORD | M.P.T. | 1568510147 |
| MRS. LORI ANN HAMBY | P.T., A.T.C. | 1033268339 |
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.