Provider Demographics
NPI:1134294721
Name:HRITZ, MICHAEL F (LMT)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:F
Last Name:HRITZ
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7098 LOCKWOOD BLVD
Mailing Address - Street 2:
Mailing Address - City:BOARDMAN
Mailing Address - State:OH
Mailing Address - Zip Code:44512-4017
Mailing Address - Country:US
Mailing Address - Phone:330-501-3153
Mailing Address - Fax:330-965-2219
Practice Address - Street 1:7098 LOCKWOOD BLVD
Practice Address - Street 2:
Practice Address - City:BOARDMAN
Practice Address - State:OH
Practice Address - Zip Code:44512-4017
Practice Address - Country:US
Practice Address - Phone:330-501-3153
Practice Address - Fax:330-965-2219
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH33 . 005812225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist