Provider Demographics
NPI:1578895983
Name:SEARCY, JAMES EDGAR JR (PT)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:EDGAR
Last Name:SEARCY
Suffix:JR
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3890 PRESCOTT ST
Mailing Address - Street 2:
Mailing Address - City:HAMTRAMCK
Mailing Address - State:MI
Mailing Address - Zip Code:48212-3116
Mailing Address - Country:US
Mailing Address - Phone:313-892-9437
Mailing Address - Fax:
Practice Address - Street 1:3890 PRESCOTT ST
Practice Address - Street 2:
Practice Address - City:HAMTRAMCK
Practice Address - State:MI
Practice Address - Zip Code:48212-3116
Practice Address - Country:US
Practice Address - Phone:313-892-9437
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-10
Last Update Date:2010-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501009766225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist