Healthcare Provider Details

I. General information

NPI: 1881341683
Provider Name (Legal Business Name): RACHEL LYNN MICHAUD PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/02/2022
Last Update Date: 03/03/2026
Certification Date: 03/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9195 GRANT ST STE 130
THORNTON CO
80229-4348
US

IV. Provider business mailing address

17243 W 84TH DR
ARVADA CO
80007-7889
US

V. Phone/Fax

Practice location:
  • Phone: 303-535-7548
  • Fax:
Mailing address:
  • Phone: 630-849-6764
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number0007233
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: