NPI 1619054152

Willie J Myrick, KT

Practitioner Kinesiotherapist Baltimore, MD

Practice location

Address: 3900 Loch Raven Blvd, Baltimore, MD 21218-2108
Phone: (410) 605-7631
Mailing address: 1401 Kitmore Rd, Baltimore, MD 21239-3410

Registered specialties

Kinesiotherapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 226300000X

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Registry record

NPI: 1619054152
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Nov 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.