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NPI Code Detail

MEDICARE: ALEXIS NICOLE MICHEL

MEDICARE: ALEXIS NICOLE MICHEL
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
12251G0304XGeriatric Physical Therapist1104558KS

General Provider Information

NPI Number : 1346653219
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXIS NICOLE MICHEL
Provider Business Mailing Address
First Line : 202 N ROCK RD APT 612
Second Line :
City : WICHITA
State : KS
Zip : 67206-2249
Country : US
Telephone Number : 785-230-0058
Fax Number :
Provider Business Practice Location Address
First Line : 2727 N ROCK RD
Second Line :
City : WICHITA
State : KS
Zip : 67226-1128
Country : US
Telephone Number : 316-636-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2014
Last Update Date : 06/08/2014

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Directions to “ ALEXIS NICOLE MICHEL ” Practice Location

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