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NPI Code Detail

MEDICARE: DR. MICHELLE L CORTESE PT, DPT

MEDICARE: DR. MICHELLE L CORTESE PT, DPT
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 Therapist11-05096KS

General Provider Information

NPI Number : 1417336280
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHELLE L CORTESE PT, DPT
Provider Business Mailing Address
First Line : 10346 E STONEGATE LN STE 100
Second Line :
City : WICHITA
State : KS
Zip : 67206-2054
Country : US
Telephone Number : 316-910-0024
Fax Number : 316-910-0023
Provider Business Practice Location Address
First Line : 10346 E STONEGATE LN STE 100
Second Line :
City : WICHITA
State : KS
Zip : 67206-2054
Country : US
Telephone Number : 316-910-0024
Fax Number : 316-910-0023
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2015
Last Update Date : 10/16/2024

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