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Michael Tillery, ATC
NPI 1164980694 · on the registry since 2019 · sole proprietor
Practice
- Address
- 4350 Constellation Rd
Lompoc, CA 93436 - Phone
- (805) 742-2900
- Fax
- (895) 742-2917
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-03-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California