Individual
MR. JOHN MARVIN MCKISSICK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
KINESIOTHERAPIST
Contact information
Practice address
3701 LOOP RD, TUSCALOOSA, AL 35404-5015
(205) 554-2000
Mailing address
2842 VALLEY CREST RD, TUSCALOOSA, AL 35405-2059
(205) 554-2000
Taxonomy
Speciality
Code
Description
License number
State
226300000X
Kinesiotherapist
Primary
847
IL
Other
Enumeration date
05/04/2006
Last updated
07/08/2007
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