Provider Demographics
NPI:1346218450
Name:STAPP, MICHAEL ROBERT (MS PT)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:ROBERT
Last Name:STAPP
Suffix:
Gender:M
Credentials:MS PT
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Mailing Address - Street 1:8004 RIVERWALK TRIAL
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070
Mailing Address - Country:US
Mailing Address - Phone:972-562-8778
Mailing Address - Fax:972-562-5342
Practice Address - Street 1:1739 N CENTRAL EXPY
Practice Address - Street 2:#200
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070
Practice Address - Country:US
Practice Address - Phone:972-562-8778
Practice Address - Fax:972-562-5342
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-14
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX1136893225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist