Provider Demographics
NPI:1457512279
Name:TRINITY MANUAL & SPORTS PHYSICAL THERAPY
Entity Type:Organization
Organization Name:TRINITY MANUAL & SPORTS PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:BARBU
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:989-854-2510
Mailing Address - Street 1:215 W BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:MI
Mailing Address - Zip Code:48858-2502
Mailing Address - Country:US
Mailing Address - Phone:989-317-4455
Mailing Address - Fax:989-317-4457
Practice Address - Street 1:215 W BROADWAY ST
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:MI
Practice Address - Zip Code:48858-2502
Practice Address - Country:US
Practice Address - Phone:989-317-4455
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-24
Last Update Date:2023-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy