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Individual

MR. KANE MICHAEL MOIX

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Contact information

Practice address
3016 W MAIN ST, SUITE 200, RUSSELLVILLE, AR 72801-2453
(479) 967-9657
(479) 967-9658
Mailing address
189 SAGEWOOD LN, RUSSELLVILLE, AR 72802-6916
(479) 381-9174
(479) 967-9658

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3753
AR

Other

Enumeration date
08/27/2013
Last updated
08/27/2013
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