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NPI Code Detail

MEDICARE: MS. MICHELLE MARIE SEMIDEY PT

MEDICARE:  MS. MICHELLE MARIE SEMIDEY  PT
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
1225100000XPhysical Therapist41534FL

General Provider Information

NPI Number : 1134386816
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MICHELLE MARIE SEMIDEY PT
Provider Business Mailing Address
First Line : 3707 SHAWNEE RD
Second Line :
City : LIMA
State : OH
Zip : 45806-1618
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4543 CHARLOTTE HWY STE 11
Second Line :
City : LAKE WYLIE
State : SC
Zip : 29710-7057
Country : US
Telephone Number : 803-831-1454
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2008
Last Update Date : 04/26/2024

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Directions to “ MS. MICHELLE MARIE SEMIDEY PT” Practice Location

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