Individual
MR. MYRON WASHINGTON
Active
Individual
MR. MYRON WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RKT
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
MT026908
TX
226300000X
Kinesiotherapist
Primary
1560
IL
Other
Enumeration date
07/02/2008
Last updated
07/02/2008
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