Alexis Alyse McCaul
Individual provider Active NPI Physical Therapy Assistant · Shepherd, MI
NPI 1487201190 · NPPES record last updated Aug 19, 2019
Key facts
- NPI
- 1487201190
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 5502005860 (MI)
- Practice address
- 7113 S Whiteville Rd
Shepherd, MI 48883-8513 - Phone
- (989) 560-6290
- NPI assigned
- Aug 19, 2019
- 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)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5502005860 | MI | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 5502005860 | MI | Yes |
Addresses
Primary practice location
7113 S Whiteville Rd
Shepherd, MI 48883-8513
Mailing address
7113 S Whiteville Rd
Shepherd, MI 48883-8513
Phone (989) 560-6290
Other providers in Shepherd, MI
- Chalisa A Kohn
- Sarah Elizabeth-March Kremhelmer
- Kaylee May Larson
- Lippert Enterprises Inc
- Valerie Ann Maloney
- Memory Mission LLC
- Benjamin Mueller
- Mymichigan Medical Center Alma
- Morgan Obenour
- Joseph C Ojibway
All providers in Shepherd, MI · Physical Therapy Assistant in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2019. 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.