Michael Glenn Hornbuckle, PTA, ATC
Physical Therapy Assistant in Dyer, IN. Individual provider (NPI-1).
NPI number1922093418
StatusActive
Last updated in NPPESAug 22, 2024
Details
- NPI
- 1922093418
- Entity type
- Individual (NPI-1)
- Name
- Mr. Michael Glenn Hornbuckle
- Credential
- PTA, ATC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 12, 2005
- Certification date
- Aug 22, 2024
- Last updated
- Aug 22, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | 06006874A | IN | Yes |
| 225200000X | Physical Therapy Assistant | 160.010184 | IL | |
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 36001065A | IN |
Practice location
1427 Joliet St Unit CDyer, IN 46311-2026
Phone 219-319-0110
Mailing address
9145 W 103rd StSaint John, IN 46373-8794
Phone 219-319-0110
Is something wrong?
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.
Other Physical Therapy Assistant providers in Dyer, IN
- Nicole Jeanee Desmaretz, PTANPI 1497099873
- Madison Kay Fisher, PTANPI 1124746151
- Ian L Hardy, PTANPI 1023586021
- Carol Marie Ostrowski, PTANPI 1346446440
All 5 Physical Therapy Assistant providers in Dyer · All 621 providers in Dyer
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.