| Doctor Name: | MICHELLE CANDICE CROUSE |
| NPI Number: | 1104062637 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPT |
| License Number: | 2305205763 |
| Business Practice Address: | 818 Church St Ne Marietta, GA - 300608969 |
| Business Phone Number: | 7707925284 |
| Business Fax Number: | 7709721513 |
| Mailing Address: | 805 Sandy Plains Rd, Attention: Revenue Mgt MARIETTA |
| State: | GA |
| Postal Code: | 300666340 |
| Phone Number: | 7707925284 |
| Fax Number: | 7707921513 |
| NPI Enumeration Date: | 01/06/2009 |
| NPI Last Update Date: | 12/13/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 2305205763 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |