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NPI Code Detail

MEDICARE: MRS. MICHELLE CHRISTINE THORPE

MEDICARE: MRS. MICHELLE CHRISTINE THORPE
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
1222Q00000XDevelopmental TherapistFL

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 : 1548955164
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MICHELLE CHRISTINE THORPE
Provider Business Mailing Address
First Line : 1408 NW 6TH ST
Second Line :
City : GAINESVILLE
State : FL
Zip : 32601-4020
Country : US
Telephone Number : 352-373-4411
Fax Number : 352-373-4455
Provider Business Practice Location Address
First Line : 7443 W US HIGHWAY 90
Second Line :
City : LAKE CITY
State : FL
Zip : 32055-8071
Country : US
Telephone Number : 352-373-4411
Fax Number : 352-373-4455
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2023
Last Update Date : 01/14/2026

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Directions to “ MRS. MICHELLE CHRISTINE THORPE ” Practice Location

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