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NPI 1285241372

NPI 1285241372 : MICHELLE COLLEEN BICKEL PT, DPT : KIRKLAND, WA

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General NPI Number Information
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    NPI Number           |    1285241372
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    Entity Type          |    Individual 
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    Provider Name        |    MICHELLE COLLEEN BICKEL PT, DPT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/23/2020
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    Last Update Date     |    09/05/2025
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Provider Practice Location Address
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    Address Line         |    808 1ST ST 
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    City                 |    KIRKLAND
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    State                |    WA
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    Zip                  |    98033-5418
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    Country              |    US
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    Telephone            |    801-953-5335
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    Fax                  |    888-524-4116
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Provider Business Mailing Address
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    Address Line         |    808 1ST ST 
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    City                 |    KIRKLAND
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    State                |    WA
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    Zip                  |    98033-5418
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    Country              |    US
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    Telephone            |    801-953-5335
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    Fax                  |    888-524-4116
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    PT61081926
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    License Number State |    WA
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