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Individual
MYRA J MCPHERSON
Active
Individual
MYRA J MCPHERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00008724
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0223730
DEPT OF L&I
WA
01
—
2452MC
REGENCE BLUESHIELD
WA
01
—
650023091
RAILROAD MEDICARE
WA
01
—
7235320
AETNA
WA
05
—
8336265
—
WA
01
—
8936602
L&I CRIME VICTIMS
WA
Enumeration date
07/06/2007
Last updated
01/25/2012
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