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NPI Code Detail

MEDICARE: MRS. MICHELLE A KLEIN PT

MEDICARE: MRS. MICHELLE A KLEIN 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 TherapistPT00006594WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1386785467
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MICHELLE A KLEIN PT
Provider Business Mailing Address
First Line : 9514 4TH ST NE
Second Line : SUITE 101
City : LAKE STEVENS
State : WA
Zip : 98258-1937
Country : US
Telephone Number : 425-397-2327
Fax Number : 425-377-0283
Provider Business Practice Location Address
First Line : 9514 4TH ST NE
Second Line : SUITE 101
City : LAKE STEVENS
State : WA
Zip : 98258-1937
Country : US
Telephone Number : 425-397-2327
Fax Number : 425-377-0283
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2007
Last Update Date : 07/08/2007

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Directions to “ MRS. MICHELLE A KLEIN PT” Practice Location

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