Myrna Lavasseur, PT
Individual provider Active NPI Physical Therapist · Harbor Beach, MI
NPI 1215263272 · NPPES record last updated Jan 7, 2015
Key facts
- NPI
- 1215263272
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 5501013184 (MI)
- Practice address
- 136 N 1St St
Harbor Beach, MI 48441-1101 - Phone
- (989) 479-3101
- NPI assigned
- Oct 27, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Concerned Home Care Outsourcing, LLC | Physical Therapist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501013184 | MI | Yes |
Addresses
Primary practice location
136 N 1St St
Harbor Beach, MI 48441-1101
Mailing address
136 N 1St St
Harbor Beach, MI 48441-1101
Phone (989) 479-3101
Other names
- Myrna Tiu Magboo
Other providers in Harbor Beach, MI
- James F Hirn DDS
- James N Molitor DDS PC
- Rachel Lynn Kain
- Jean Laurie Kramer
- Shane Robert Kucharczyk
- Judith Lynn McCloskey
- Simon J. McCoy
- Medical Enterprises, Inc.
- Medical Enterprises, Inc.
- Claire Ann Melnik
All providers in Harbor Beach, 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 Jan 7, 2015. 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.