Individual
MICAH BARTLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3801 SILVER BEACH AVE, BELLINGHAM, WA 98226-4326
(360) 543-3413
Mailing address
3801 SILVER BEACH AVE, BELLINGHAM, WA 98226-4326
(360) 543-3413
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P160597967
WA
Other
Enumeration date
01/07/2020
Last updated
01/07/2020
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