Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michael Lang Polley, ATP

Individual provider Other Technician · NPI 1215229687

Michael Lang Polley, ATP is an Other Technician in Tyler, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2011
Specialties on file
2

Practice location Address checks out

4703 Dc Dr Ste 100
Tyler, TX 75701
Phone: (903) 597-5656
Fax: (903) 729-5496
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assistive Technology Practitioner Rehabilitation Counselor (primary) Taxonomy 225CA2400X · Licence 10296600 (TX)
Other Technician Taxonomy 247200000X · Licence 10296600 (TX)

Record details

NPI number1215229687
Entity typeIndividual (Type 1)
GenderMale
Credentials ATP
Sole proprietorYes
NPI enumeratedMay 4, 2011
Last updated in NPPESAugust 16, 2018

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