Whalio Doctors

NPI 1215229687

Michael Lang Polley, ATP

Practitioner Assistive Technology Practitioner Rehabilitation Counselor Tyler, TX

Practice location

Address
4703 DC Dr STE 100, Tyler, TX 75701
Phone
(903) 597-5656
Fax
(903) 729-5496
Mailing address
4703 DC Dr STE 100, Tyler, TX 75701-0405

Registered specialties (2)

Assistive Technology Practitioner Rehabilitation Counselor Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225CA2400X Licence 10296600 (TX)
Other Technician
Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X Licence 10296600 (TX)

Registry record

NPI
1215229687
Entity type
Individual
Sex (as registered)
Male
NPI issued
4 May 2011
Record last updated
16 Aug 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.