Evans Lock, PTA
Physical Therapy Assistant in Jackson, MI. Individual provider (NPI-1).
NPI number1295584589
StatusActive
Last updated in NPPESMay 17, 2024
Details
- NPI
- 1295584589
- Entity type
- Individual (NPI-1)
- Name
- Mr. Evans Lock
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 17, 2024
- Certification date
- May 17, 2024
- Last updated
- May 17, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | 5502000102 | MI | Yes |
Practice location
100 E Michigan Ave Ste 400Jackson, MI 49201-1498
Phone 517-205-4800
Mailing address
100 E Michigan Ave Ste 400Jackson, MI 49201-1498
Phone 517-205-4800
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Other Physical Therapy Assistant providers in Jackson, MI
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All 29 Physical Therapy Assistant providers in Jackson · All 4,114 providers in Jackson
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