Provider Demographics
NPI:1871147504
Name:BERRY, AKYRA (HAIR LOSS SPECIALIST)
Entity type:Individual
Prefix:
First Name:AKYRA
Middle Name:
Last Name:BERRY
Suffix:
Gender:F
Credentials:HAIR LOSS SPECIALIST
Other - Prefix:
Other - First Name:AKYRA
Other - Middle Name:
Other - Last Name:BERRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:HAIR LOSS SPECIALIST
Mailing Address - Street 1:5251 JOHN TYLER HWY STE 36
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23185-8808
Mailing Address - Country:US
Mailing Address - Phone:757-994-1001
Mailing Address - Fax:
Practice Address - Street 1:4391 IRONBOUND RD STE D
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:VA
Practice Address - Zip Code:23188-2659
Practice Address - Country:US
Practice Address - Phone:757-880-1832
Practice Address - Fax:757-260-5017
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-31
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist