Individual provider · NPI-1

Michael R Engle, RKT

Kinesiotherapist · Lake City, FL

NPI number1619920840
StatusActive
Last updated in NPPESOct 13, 2021

Details

NPI
1619920840
Entity type
Individual (NPI-1)
Name
Mr. Michael R Engle
Credential
RKT
Sex
Male
Sole proprietor
No
Enumeration date
May 18, 2006
Certification date
Oct 13, 2021
Last updated
Oct 13, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
226300000X Kinesiotherapist1378–Yes

Practice location

619 S Marion Ave
(117)
Lake City, FL 32025-5808

Phone 386-755-3016

Mailing address

248 Se Fawn Gln
Lake City, FL 32025-1778

Phone 386-755-3016

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