MR. Michael Constancio Respicio Mahinay IV, P.T.

NPI #1225235492 in Mount Vernon, Indiana

Provider Information

NPI Number: 1225235492
Entity Type: Individual
Name: MR. Michael Constancio Respicio Mahinay IV, P.T.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: P.T.
Enumeration Date: Jun 29, 2007
Last Updated: Dec 8, 2016

Practice Location

Address: 1250 MAIN ST
Address 2: #1282
City: Mount Vernon
State: Indiana
ZIP Code: 47620
Phone: (812) 549-6512

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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