Individual
MR. MIKE LAWERENCE PICKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
571 PARKWAY DR, SALYERSVILLE, KY 41465-9248
(606) 349-6182
(606) 349-5962
Mailing address
525 WASHINGTON AVE, PAINTSVILLE, KY 41240-1242
(606) 367-1886
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A01783
KY
Other
Enumeration date
06/29/2007
Last updated
07/08/2007
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