Mark Henry Eveningred, M.P.T.

Physical Therapist · Macomb, MI

Individual Active NPI

NPI number 1861592784

Practice location

17900 23 Mile Rd
Ste 401
Macomb, MI 48044-1161
Phone
(586) 868-9040
Fax
(586) 868-9013

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NPI record

NPI
1861592784
Entity type
Individual (Type 1)
Enumeration date
September 22, 2006
Last updated
October 16, 2014
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapist Primary 225100000X 5501005092 MI

Mailing address

48675 American Elm Dr
Macomb, MI 48044-1429
Phone
(586) 263-4910

About Mark Eveningred

Mark Henry Eveningred, M.P.T. is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapist (code 225100000X). The practice location is 17900 23 Mile Rd, Ste 401, Macomb, MI 48044-1161. The NPI number 1861592784 was assigned on September 22, 2006 and the record was last updated on October 16, 2014.

Mark Eveningred lists a license in the registry: #5501005092 (MI) for Physical Therapist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mark Henry Eveningred, M.P.T.?

The NPI number is 1861592784.

What is the phone number of Mark Eveningred?

The phone number listed for the practice location is (586) 868-9040.

Where is Mark Eveningred located?

17900 23 Mile Rd, Ste 401, Macomb, MI 48044-1161.

What is the taxonomy code for Mark Eveningred?

The primary taxonomy code is 225100000X – Physical Therapist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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