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Individual

MR. MICHAEL SHAYNE WINTERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.S.

Contact information

Practice address
500 N. HWY 89, PRESCOTT, AZ 86313
(928) 445-4860
Mailing address
117 N EQUESTRIAN WAY, PRESCOTT, AZ 86303-5795
(928) 445-4860

Taxonomy

Speciality
Code
Description
License number
State
226300000X
Kinesiotherapist
Primary

Other

Enumeration date
08/11/2006
Last updated
07/08/2007
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