Larry Clinton Eaton, P.T.
Physical Therapist in Southgate, MI. Individual provider (NPI-1).
NPI number1851456867
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1851456867
- Entity type
- Individual (NPI-1)
- Name
- Mr. Larry Clinton Eaton
- Credential
- P.T.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 27, 2006
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 5501001069 | MI | Yes |
Practice location
12855 Dix Toledo RdSouthgate, MI 48195-1744
Phone 734-283-2526
Mailing address
27543 Evelyn AveBrownstown Twp, MI 48183-4859
Phone 734-671-0613
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 48 Physical Therapist providers in Southgate · All 2,117 providers in Southgate
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