Individual
MR. MICHAEL RAY NEWBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Contact information
Practice address
9 MAIN ST, BLACK RIVER FALLS, WI 54615-1795
(715) 670-0310
(715) 670-0315
Mailing address
1200 OAKLEAF WAY STE B, ALTOONA, WI 54720-2245
(715) 839-9266
(715) 839-8761
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4840
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40263400
—
WI
Enumeration date
04/21/2006
Last updated
12/01/2021
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