Doctor Name: | MRS. MICHELLE LYNNE WATSON |
NPI Number: | 1689784613 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS PT OCS ATC |
License Number: | 113762 |
Business Practice Address: | 2937 South Brentwood Blvd Brentwood, MO - 63144 |
Business Phone Number: | 3149613804 |
Business Fax Number: | 3149611147 |
Mailing Address: | 16201 Pepper View Ct, CHESTERFIELD |
State: | MO |
Postal Code: | 63005 |
Phone Number: | 6365326167 |
Fax Number: | |
NPI Enumeration Date: | 08/31/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 113762 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
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 |