Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225400000X | Rehabilitation Practitioner |
NPI | 1033520648 |
---|---|
Provider Name | Michelle Atkins |
First Address | North Royalton, OH 44133-3619 |
Second Address | Pahrump, NV 89048-3520 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2014 |
Last Update Date | 16/12/2020 |