Individual
MICHAEL KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
1255 HILYARD ST, SACRED HEART MEDICAL CENTER, EUGENE, OR 97401-3718
(541) 686-3640
Mailing address
40 EASTERN AVE, C/O JENNIFER KELLEY, MALDEN, MA 02148-5014
(800) 760-5196
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4510
OR
Other
Enumeration date
02/23/2010
Last updated
02/23/2010
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