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-- KEVIN MICHAEL HUSSEY -- ATC, PTA

Individual Provider (NPI-1) Active

Physical Therapy Assistant

Provider Information

NPI Number
1922095850
Provider Type
Individual Provider (NPI-1)
Credentials
ATC, PTA
Status
Active

Contact & Location

Address
763 LAKEFAIR PL N, KEIZER, OR, 973033585
Phone
(360) 961-7754

Specialties & Taxonomies

Specialist/Technologist, Athletic Trainer
Physical Therapy Assistant Primary License: OR #8554

All Addresses

MAILING

763 LAKEFAIR PL N

KEIZER, OR, 973033585

(360) 961-7754

LOCATION

763 LAKEFAIR PL N

KEIZER, OR, 973033585

(360) 961-7754