Individual
MR. JERRY PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1364 N PERRY CREEK RD, MIO, MI 48647-9718
(989) 390-3718
Mailing address
1364 N PERRY CREEK RD, MIO, MI 48647-9718
(989) 390-3718
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
225700000X
Massage Therapist
—
—
Other
Enumeration date
03/16/2007
Last updated
12/05/2013
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