Idaho
Division of Occupational and Professional Licenses
MICHAEL WAYNE DECKER
Physical Therapy Licensure Board - Physical Therapist Assistant
License number
PTA - 3542
Date granted
03/18/2014
Date expires
05/31/2017
Class
Physical Therapy Licensure Board - Physical Therapist Assistant
Status
Current
Address
HELENA MT 59602
idaholicensing.com
ID 43733979
LAST UPDATED 2024-04-12 19:32:34 UTC
LAST UPDATED 2024-04-12 19:32:34 UTC
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