Andrew Funsch, DPT
Individual provider Active NPI Physical Therapist · Charlevoix, MI
NPI 1982105169 · NPPES record last updated Feb 23, 2018
Key facts
- NPI
- 1982105169
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 5501018205 (MI)
- Practice address
- 14700 Lake Shore Dr
Charlevoix, MI 49720-1931 - Phone
- (231) 547-8630
- NPI assigned
- Feb 23, 2018
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|
| 5501018205 | MI | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501018205 | MI | Yes |
Addresses
Primary practice location
14700 Lake Shore Dr
Charlevoix, MI 49720-1931
Mailing address
14700 Lake Shore Dr
Charlevoix, MI 49720-1931
Other providers in Charlevoix, MI
- Kathryn Helen Frake
- Rachael Freedman
- Freedom Chiropractic Northern Michigan LLC
- Reed K Freidinger
- Jon David Friley
- James A Gels
- Gentle Family Dentistry
- Scott Russell Gilliland
- Robert Gorkiewicz
- Brian Scott Grandon
All providers in Charlevoix, 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 Feb 23, 2018. 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.