Provider Demographics
NPI:1831271873
Name:ALECKSON, MICHAEL R (BRS)
Entity type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:R
Last Name:ALECKSON
Suffix:
Gender:M
Credentials:BRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:23515 48TH AVE E
Mailing Address - Street 2:BOX 4641
Mailing Address - City:SPANAWAY
Mailing Address - State:WA
Mailing Address - Zip Code:98387-6136
Mailing Address - Country:US
Mailing Address - Phone:235-847-9433
Mailing Address - Fax:
Practice Address - Street 1:A-112-BRC BLIND REHABILITATION CTR
Practice Address - Street 2:AMERICAN LAKE/VAMC
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98493-0001
Practice Address - Country:US
Practice Address - Phone:253-582-8440
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255R0406XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistRehabilitation, Blind