Vincy Davis
Individual provider Active NPI Physical Therapist · Riverview, MI
NPI 1063534071 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1063534071
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 5501004868 (MI)
- Practice address
- 17575 Devonshire St
Riverview, MI 48193-7612 - Phone
- (734) 624-0111
- Fax
- (734) 556-1530
- NPI assigned
- Apr 3, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501004868 | MI | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501004868 | MI | Yes |
Addresses
Primary practice location
17575 Devonshire St
Riverview, MI 48193-7612
Mailing address
17575 Devonshire St
Riverview, MI 48193-7612
Phone (734) 624-0111
Other names
- Vincy Davis
Other providers in Riverview, MI
- Felicia Patreece Covington
- Nora S Creighton
- Megan Ann Crim
- Sergio Cuadros
- Te'Najah Davis
- Deeb Shalhoub, MD, PC
- Dentistry for Children PC
- Design for Vision of Riverview LLC
- Nicole Diclaudio
- Donathan Family Chiropractic PC
All providers in Riverview, MI · Physical Therapist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.