| Doctor Name: | MICHELLE ANNETTE MCCALLUM |
| NPI Number: | 1144295759 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.T. |
| License Number: | PT007527L |
| Business Practice Address: | 1010 Monarch St Suite 150 Lexington, KY - 405131497 |
| Business Phone Number: | 8592190211 |
| Business Fax Number: | 8592190241 |
| Mailing Address: | 214 Crimson Dr, RICHMOND |
| State: | KY |
| Postal Code: | 404757710 |
| Phone Number: | 8596255882 |
| Fax Number: | |
| NPI Enumeration Date: | 02/18/2006 |
| NPI Last Update Date: | 09/19/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT007527L |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| 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 |