Nancy Ann Levra, P.T.

Individual provider Active NPI Physical Therapist · Ironwood, MI

NPI 1497928667 · NPPES record last updated Sep 14, 2012

Key facts

NPI
1497928667
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
5501003460 (MI)
Practice address
1310 E Cloverland Dr
Ironwood, MI 49938-1606
Phone
(906) 932-4200
Fax
(906) 932-4201
NPI assigned
Apr 9, 2008
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
5501003460MIMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501003460 MI Yes

Addresses

Primary practice location

1310 E Cloverland Dr
Ironwood, MI 49938-1606

Mailing address

1310 E Cloverland Dr
Ironwood, MI 49938-1606
Phone (906) 932-4200

Other identifiers

IdentifierTypeStateIssuer
40086600MedicaidWI

Other providers in Ironwood, MI

All providers in Ironwood, MI · Physical Therapist in Michigan

Sources for this page

Verify at the official NPI Registry.