Individual
MR. BARRY SCOTT MICHAELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
8051 PALOMAS AVE NE, ALBUQUERQUE, NM 87109-5284
(410) 486-0275
(410) 486-0276
Mailing address
1309 PINE RIDGE LN, PIKESVILLE, MD 21208-3731
(410) 486-0275
(410) 486-0276
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT4367
NM
2251E1200X
Ergonomics Physical Therapist
17822
MD
2251G0304X
Geriatric Physical Therapist
17822
MD
2251X0800X
Orthopedic Physical Therapist
17822
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143300800
—
MD
Enumeration date
07/11/2005
Last updated
06/10/2021
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