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NPI Code Detail

MEDICARE: MICHELLE PRICE PTA

MEDICARE:   MICHELLE  PRICE  PTA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy AssistantPTA05171OH

General Provider Information

NPI Number : 1962520189
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE PRICE PTA
Provider Business Mailing Address
First Line : 739 N ELMWOOD AVE
Second Line :
City : WICKLIFFE
State : OH
Zip : 44092-2104
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 730 SOM CENTER RD
Second Line :
City : MAYFIELD VILLAGE
State : OH
Zip : 44143-2350
Country : US
Telephone Number : 440-684-1833
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2007
Last Update Date : 02/10/2026

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Directions to “ MICHELLE PRICE PTA” Practice Location

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