Organization
DEERING THERAPY SERVICES LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KERRY WAYNE DEERING OTR (PRESIDENT)
(928) 753-4263
Entity
Organization
Contact information
Practice address
2501 STOCKTON HILL RD, SUITE 104, KINGMAN, AZ 86401-4140
(928) 753-4263
(928) 753-1173
Mailing address
PO BOX 3278, KINGMAN, AZ 86402-3278
(928) 753-4263
(928) 753-1173
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5470960001
DMERC
AZ
Enumeration date
09/30/2008
Last updated
09/30/2008
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