Individual
MYCHAL S MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1725 SW CHANDLER AVE STE 102, BEND, OR 97702-3249
(541) 209-6729
(541) 605-3286
Mailing address
20460 DEL COCO CT, BEND, OR 97702-9414
(949) 290-5193
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
39246
CA
225100000X
Physical Therapist
Primary
60487
OR
Other
Enumeration date
07/31/2012
Last updated
08/01/2024
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