Individual
JAMES MICHAEL HALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1001 E BOGARD RD, WASILLA, AK 99654-7114
(907) 373-7246
(907) 376-9225
Mailing address
1001 E BOGARD RD, WASILLA, AK 99654-7114
(907) 373-7246
(907) 376-9225
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1849
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149626721
—
AR
Enumeration date
04/11/2007
Last updated
08/06/2009
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