Mickey Charles Wasson, PTA

NPI #1770608416 in Sturgis, Michigan

Provider Information

NPI Number
1770608416
Entity Type
Individual
Name
Mickey Charles Wasson, PTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
Mar 20, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
228 W CHICAGO RD
ZIP Code
49091-1709
Phone
(269) 651-2550

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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