Provider Demographics
NPI:1568747772
Name:PERRYMAN, MICHAEL TROY (KINESIOLOGIST)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:TROY
Last Name:PERRYMAN
Suffix:
Gender:M
Credentials:KINESIOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:3547 E PHELPS ST
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85295-2140
Mailing Address - Country:US
Mailing Address - Phone:480-532-1219
Mailing Address - Fax:480-275-4320
Practice Address - Street 1:3547 E PHELPS ST
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85295-2140
Practice Address - Country:US
Practice Address - Phone:480-532-1219
Practice Address - Fax:480-275-4320
Is Sole Proprietor?:No
Enumeration Date:2011-10-19
Last Update Date:2012-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes226300000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersKinesiotherapist