Provider Demographics
NPI:1891803466
Name:DEWEY, MICHAEL RAY (KINESIOTHERAPIST)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:RAY
Last Name:DEWEY
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Gender:M
Credentials:KINESIOTHERAPIST
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Mailing Address - Street 1:1 BIRCHBROOK LN
Mailing Address - Street 2:
Mailing Address - City:NORTON
Mailing Address - State:MA
Mailing Address - Zip Code:02766-3439
Mailing Address - Country:US
Mailing Address - Phone:774-826-1967
Mailing Address - Fax:774-826-2643
Practice Address - Street 1:940 BELMONT ST
Practice Address - Street 2:
Practice Address - City:BROCKTON
Practice Address - State:MA
Practice Address - Zip Code:02301-5596
Practice Address - Country:US
Practice Address - Phone:774-826-1976
Practice Address - Fax:774-826-2643
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-25
Last Update Date:2007-07-08
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes226300000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersKinesiotherapist