Provider Demographics
NPI:1982747382
Name:KERRY, ADAM JOHN (ATC)
Entity Type:Individual
Prefix:MR
First Name:ADAM
Middle Name:JOHN
Last Name:KERRY
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
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Mailing Address - Street 1:46741 US HIGHWAY 41
Mailing Address - Street 2:APT G
Mailing Address - City:HOUGHTON
Mailing Address - State:MI
Mailing Address - Zip Code:49931-9046
Mailing Address - Country:US
Mailing Address - Phone:906-869-9971
Mailing Address - Fax:
Practice Address - Street 1:500 CAMPUS DR
Practice Address - Street 2:
Practice Address - City:HANCOCK
Practice Address - State:MI
Practice Address - Zip Code:49930-1569
Practice Address - Country:US
Practice Address - Phone:906-483-1040
Practice Address - Fax:906-483-1043
Is Sole Proprietor?:No
Enumeration Date:2007-02-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer