Individual
MR. MICHAEL L BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
6513 BARGE ST, YAKIMA, WA 98908-1730
(509) 895-1771
Mailing address
6513 BARGE ST, YAKIMA, WA 98908-1730
(509) 895-1771
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P160046895
WA
Other
Enumeration date
07/08/2019
Last updated
07/08/2019
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