| Doctor Name: | MICHELL BAMBENEK |
| NPI Number: | 1730368580 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | 7824 |
| Business Practice Address: | 10241 E Apache Trl Apache Junction, AZ - 852203203 |
| Business Phone Number: | 8774743424 |
| Business Fax Number: | 4809845750 |
| Mailing Address: | Po Box 3497, STURTEVANT |
| State: | WI |
| Postal Code: | 531770300 |
| Phone Number: | 8775522996 |
| Fax Number: | 8662458064 |
| NPI Enumeration Date: | 10/29/2007 |
| NPI Last Update Date: | 07/22/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 7824 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| 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 |