| Doctor Name: | MICHELE TERESE VITA |
| NPI Number: | 1184835050 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPT, OCS |
| License Number: | |
| Business Practice Address: | 2200 Bergquist Dr Ste 1 Attn Credentials Lackland A F B, TX - 782369908 |
| Business Phone Number: | 2102926225 |
| Business Fax Number: | |
| Mailing Address: | 18614 Eagle Frd, SAN ANTONIO |
| State: | TX |
| Postal Code: | 782584447 |
| Phone Number: | 2104552449 |
| Fax Number: | |
| NPI Enumeration Date: | 05/24/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| 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 |