Individual
JOSEPH DARRYL MICHELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
250 G ST, BLAINE, WA 98230-4019
(360) 332-8167
Mailing address
805 WOODBINE WAY, BELLINGHAM, WA 98229-8817
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00008874
WA
Other
Enumeration date
12/29/2006
Last updated
07/08/2007
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