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Michael Anderson

Physical Therapist in Coppell, TX. Individual provider (NPI-1).

NPI number1811521925
StatusActive
Last updated in NPPESJan 19, 2026

Details

NPI
1811521925
Entity type
Individual (NPI-1)
Name
Michael Anderson
Sex
Male
Sole proprietor
No
Enumeration date
Feb 27, 2020
Certification date
Jan 19, 2026
Last updated
Jan 19, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist034537AZYes
2255A2300X Specialist/Technologist, Athletic Trainer3562MN

Practice location

8840 Cypress Waters Blvd
Coppell, TX 75019-4594

Phone 507-514-8150

Mailing address

Po Box 580
Lake Crystal, MN 56055-0580

Phone 507-514-8150

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