Doctor Name: | MRS. MICHELLE RAE FREDRICK |
NPI Number: | 1376730283 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 1938 |
Business Practice Address: | 406 W Neely St Atkinson, NE - 687134801 |
Business Phone Number: | 4029252811 |
Business Fax Number: | 4029252810 |
Mailing Address: | 406 W Neely St, ATKINSON |
State: | NE |
Postal Code: | 687134801 |
Phone Number: | 4029252811 |
Fax Number: | 4029252810 |
NPI Enumeration Date: | 09/25/2007 |
NPI Last Update Date: | 09/25/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1938 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
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 |