Healthcare Provider Details

I. General information

NPI: 1073806766
Provider Name (Legal Business Name): MICHELE DAWN DILLON PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2011
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

757 UNIVERSITY CITY BLVD
BLACKSBURG VA
24060-2705
US

IV. Provider business mailing address

PO BOX 1632
CHRISTIANSBURG VA
24068-1632
US

V. Phone/Fax

Practice location:
  • Phone: 540-585-4841
  • Fax: 540-585-4842
Mailing address:
  • Phone: 540-585-4841
  • Fax: 540-585-4842

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2305217618
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number8910
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: