| Doctor Name: | MICHELLE L RICKER |
| NPI Number: | 1659424869 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PAC |
| License Number: | 742 |
| Business Practice Address: | 24 Jasons Way Belchertown, MA - 01007 |
| Business Phone Number: | 4132130507 |
| Business Fax Number: | |
| Mailing Address: | 24 Jasons Way, BELCHERTOWN |
| State: | MA |
| Postal Code: | 01007 |
| Phone Number: | 4132130507 |
| Fax Number: | |
| NPI Enumeration Date: | 01/19/2007 |
| NPI Last Update Date: | 04/28/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 742 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CT |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |