Provider Demographics
NPI:1164468575
Name:VOLTZ, MICHAEL (DPT, ATC, CSCS, DNS)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:
Last Name:VOLTZ
Suffix:
Gender:M
Credentials:DPT, ATC, CSCS, DNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1695 S STATE ST # A
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19901-5148
Mailing Address - Country:US
Mailing Address - Phone:302-552-1120
Mailing Address - Fax:302-552-1121
Practice Address - Street 1:696 W LINCOLN HWY
Practice Address - Street 2:
Practice Address - City:EXTON
Practice Address - State:PA
Practice Address - Zip Code:19341-2514
Practice Address - Country:US
Practice Address - Phone:302-552-1120
Practice Address - Fax:302-552-1121
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2025-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT024923225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist