MICHAEL LANG POLLEY ATP
NPI 1215229687
Rehabilitation Counselor - Assistive Technology Practitioner in Tyler, TX
- Individual
- Male
- Rehabilitation Counselor
- Assistive Technology Practitioner
About MICHAEL POLLEY
This page provides the complete NPI Profile along with additional information for Michael Polley, a provider established in Tyler, Texas with a medical specialization in Rehabilitation Counselor, focusing in assistive technology practitioner . The healthcare provider is registered in the NPI registry with number 1215229687 assigned on May 2011. The practitioner's primary taxonomy code is 225CA2400X with license number 10296600 (TX). The provider is registered as an individual and his NPI record was last updated 8 years ago.
- NPI
- 1215229687 Verify this NPI
- Provider Name
- MICHAEL LANG POLLEY ATP
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 4703 DC DR STE 100 TYLER, TX 75701
- Location Phone
- (903) 597-5656
- Location Fax
- (903) 729-5496
- Mailing Address
- 4703 DC DR STE 100 TYLER, TX 75701
- Mailing Phone
- (903) 597-5656
- Mailing Fax
- (903) 597-5580
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 05-04-2011
- Last Update Date
- 08-16-2018
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Rehabilitation Counselor Assistive Technology Practitioner
- Taxonomy Code
- 225CA2400X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- 10296600
- License State
- TX
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 247200000X | Technologists, Technicians & Other Technical Service Providers | Technician, Other | 10296600 (TX) |
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
TYLER, TX 75701
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215229687, enumerated as an "individual" on May 04, 2011.
The provider is located at 4703 DC DR STE 100 TYLER, TX 75701 and the phone number is (903) 597-5656.
Rehabilitation Counselor with taxonomy code 225CA2400X and a focus in Assistive Technology Practitioner.