Individual provider · Type 1 NPI
Michael A. Stroud
Rehabilitation Practitioner · Carbondale, IL
NPI number
1720126501
Active
Practice location
305 W Jackson St Ste LL02
Carbondale, IL 62901-1474
Mailing address
511 Dogwood Ln
Carterville, IL 62918-1624
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Rehabilitation Practitioner Primary | 225400000X | 96000511 (IL) |
Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
About NPI 1720126501
Michael A. Stroud's National Provider Identifier is 1720126501, issued on Feb 2, 2007. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Carbondale, IL. The record was last updated on Jul 8, 2007.