Kevin Michael Hussey, ATC, PTA

NPI #1922095850 in Keizer, Oregon

Provider Information

NPI Number: 1922095850
Entity Type: Individual
Name: Kevin Michael Hussey, ATC, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: ATC, PTA
Enumeration Date: Oct 5, 2005
Last Updated: Oct 7, 2009

Practice Location

Address: 763 LAKEFAIR PL N
City: Keizer
State: Oregon
ZIP Code: 97303-3585
Phone: (360) 961-7754

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Physical Therapy Assistant	225200000X	Primary

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