Provider Demographics
NPI:1184692204
Name:VOITH, MICHAEL RAYMOND (PT)
Entity type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:RAYMOND
Last Name:VOITH
Suffix:
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 1:1009 BALANCED ROCK PL
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78681
Mailing Address - Country:US
Mailing Address - Phone:512-238-0409
Mailing Address - Fax:
Practice Address - Street 1:1420 WELLS BRANCH PARKWAY
Practice Address - Street 2:UNIT 400
Practice Address - City:PFLUGERVILLE
Practice Address - State:TX
Practice Address - Zip Code:78660
Practice Address - Country:US
Practice Address - Phone:512-670-3238
Practice Address - Fax:512-670-3241
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-14
Last Update Date:2012-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1121457225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
8T3044OtherBCBS