MEDICARE: CHRISTINE COOPER MICHALSKI

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
1	171400000X	Health & Wellness Coach

General Provider Information

NPI Number	:	1174487375
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINE COOPER MICHALSKI

Provider Business Mailing Address
First Line	:	6992 S VIEW LN
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85298-9167
Country	:	US
Telephone Number	:	336-970-0757
Fax Number	:

Provider Business Practice Location Address
First Line	:	6992 S VIEW LN
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85298-9167
Country	:	US
Telephone Number	:	336-970-0757
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/11/2025
Last Update Date	:	12/11/2025

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Directions to “ CHRISTINE COOPER MICHALSKI ” Practice Location

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