Individual
MR. MICHAEL ROBERT WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
463 LYNN HAVEN LN, HAZELWOOD, MO 63042-1808
(314) 731-0448
Mailing address
169 MADISON AVE, NEW YORK, NY 10016-5101
(412) 335-7286
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
009303
KY
225100000X
Physical Therapist
054129
NY
225100000X
Physical Therapist
1406689
TX
225100000X
Physical Therapist
2016020586
MO
225100000X
Physical Therapist
30368
MD
225100000X
Physical Therapist
PT-2025-0093
NM
225100000X
Physical Therapist
PT021678
OH
225100000X
Physical Therapist
Primary
PT026606
PA
Other
Enumeration date
06/17/2016
Last updated
06/11/2025
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