Provider Demographics
NPI:1710955356
Name:HUFFMAN, MICHAEL W (LPT)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:W
Last Name:HUFFMAN
Suffix:
Gender:M
Credentials:LPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 PENNSYLVANIA AVE
Mailing Address - Street 2:
Mailing Address - City:IRWIN
Mailing Address - State:PA
Mailing Address - Zip Code:15642-3928
Mailing Address - Country:US
Mailing Address - Phone:724-864-5263
Mailing Address - Fax:
Practice Address - Street 1:1004 HARRISON CITY EXPORT RD
Practice Address - Street 2:BOHINCE BLDG. SUITE 3
Practice Address - City:HARRISON CITY
Practice Address - State:PA
Practice Address - Zip Code:15636-1340
Practice Address - Country:US
Practice Address - Phone:724-744-7200
Practice Address - Fax:724-744-7208
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT-007113-L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA3425243OtherAETNA
PA6015123OtherCIGNA
PA226129OtherHEALTH ASSURANCE
PA1412558OtherHIGHMARK
PA6015123OtherCIGNA