Individual
MICHAEL MANLEY FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
5820 SOUTHHALL RD, BIRMINGHAM, AL 35213-1006
(205) 310-6777
Mailing address
5820 SOUTHHALL RD, BIRMINGHAM, AL 35213-1006
(205) 310-6777
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1-0969
AL
225100000X
Physical Therapist
Primary
PTH9312
AL
225100000X
Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1497227961
NPI
—
Enumeration date
12/21/2018
Last updated
08/31/2021
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