| Doctor Name: | MICHELLE SUZANNE GREENE |
| NPI Number: | 1114149978 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | 03294 |
| Business Practice Address: | 4100 Se Adams Rd Suite A-100 Bartlesville, OK - 740068437 |
| Business Phone Number: | 6417546120 |
| Business Fax Number: | 9183319971 |
| Mailing Address: | 4100 Se Adams Rd, Suite A-100 BARTLESVILLE |
| State: | OK |
| Postal Code: | 740068437 |
| Phone Number: | 9183319922 |
| Fax Number: | 9183319971 |
| NPI Enumeration Date: | 05/02/2007 |
| NPI Last Update Date: | 03/10/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 03294 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IA |
| 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 |