Individual
MRS. MISTY MICHELLE POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
700 CENTURY PARK SOUTH, SUITE 128, BIRMINGHAM, AL 35226-3984
(205) 823-1215
(205) 822-4999
Mailing address
PO BOX 360884, BIRMINGHAM, AL 35236-0884
(205) 823-1215
(205) 822-4999
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH2604
AL
2251P0200X
Pediatric Physical Therapist
—
—
Other
Enumeration date
12/31/2018
Last updated
12/31/2018
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