Provider Demographics
NPI:1891743613
Name:GUERRERO, MICHAEL JAMES (ATC)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:JAMES
Last Name:GUERRERO
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
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Mailing Address - Street 1:204 E PARKER ST
Mailing Address - Street 2:
Mailing Address - City:SMITHFIELD
Mailing Address - State:NC
Mailing Address - Zip Code:27577-4316
Mailing Address - Country:US
Mailing Address - Phone:919-934-9040
Mailing Address - Fax:919-934-7455
Practice Address - Street 1:8228 HEBRON CHURCH RD
Practice Address - Street 2:
Practice Address - City:GARNER
Practice Address - State:NC
Practice Address - Zip Code:27529-9169
Practice Address - Country:US
Practice Address - Phone:919-662-2379
Practice Address - Fax:919-589-6653
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2016-11-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC01312255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer