MICHELLE DUCKETT (NPI# 1770086217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770086217 |
| Entity Type | Individual |
| Full Name | MICHELLE DUCKETT |
| Credential | PT |
| Practice Address |
5722 Metro Way Sw Wyoming MI 49519-9524 |
| Mailing Address |
235 Wealthy St Se Grand Rapids MI 49503-5247 |
| Practice Telephone | 6162526065 |
| Enumeration Date | 2018-03-12 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251S0007X |
Physical Therapist Specialization: Sports |
MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8941 N Rodgers Ct Se, Caledonia, MI 493168013 | 6162525300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083189385 | Michelle Duckett | Speech-Language Pathologist | 1215 W Lewis St, Pasco, WA 99301-5472 | 2018-10-12 |
| Street Address |
5722 METRO WAY SW |
| City | WYOMING |
| State | MI |
| Zip Code | 49519-9524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609364009 | Alexandra K Hylen | Dentist | 4489 Byron Center Ave Sw Ste A, Wyoming, MI 49519 | 2018-05-01 |
| 1962925685 | Nicole Lee Kolasa | Rehabilitation Counselor | 2038 Melvin St. Sw, Wyoming, MI 49519 | 2017-07-25 |
| 1720534472 | Michael Ash | Rehabilitation Practitioner | 1870 36th Street, Wyoming, MI 49519 | 2016-08-31 |
| 1891248993 | Kayleigh Saucier | Family Medicine | 5900 Byron Center Avenue Se, Wyoming, MI 49519 | 2016-07-26 |
| 1093112799 | Wmro LLC | Radiology | 5950 Metro Way, Wyoming, MI 49519 | 2014-11-24 |
| 1033547658 | Maranda Catherine Gary | Nurse Practitioner | 2122 Health Drive, Wyoming, MI 49519 | 2013-10-16 |
| 1144657800 | Diana Ro | Psychologist | 4211 Parkway Place Sw, #100, Wyoming, MI 49519 | 2013-09-26 |
| 1386077873 | Lindsey Elizabeth Chorney | Nurse Practitioner | 2122 Health Drive Sw, Suite 133, Wyoming, MI 49519 | 2013-08-20 |
| 1124377163 | Vision and Sensory Center of Michigan LLC | Optometrist | 4467 Byron Center Ave., Wyoming, MI 49519 | 2012-09-06 |
| 1881940203 | Judah | Durable Medical Equipment & Medical Supplies | 2975 Waterchase Way Sw Suite 307, Wyoming, MI 49519 | 2012-08-03 |
| Find all providers in zip 49519 | ||||
| Taxonomy Code | 2251S0007X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Sports |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902308471 | Stacey Pagorek | Physical Therapist | 24 Frank Lloyd Wright Drive Lobby A - Medsport, Ann Arbor, MI 48106 | 2018-03-01 |
| 1245367473 | Brian J Adams | Physical Therapist | 46001 Grand River Ave, Suite A, Novi, MI 48374-1319 | 2007-02-27 |
| 1972667780 | Stonebrooke Family Physicians | Physical Therapist | 2930 Crooks Rd, Rochester Hills, MI 48309-3609 | 2006-12-19 |
| 1508848318 | Mary Free Bed Rehabilitation, L.l.c | Physical Therapist | 1845 Livernois Rd, Troy, MI 48083-1731 | 2005-11-17 |
| 1487254561 | Eric Kinney | Physical Therapist | 46001 Grand River Ave, Novi, MI 48374-1319 | 2020-10-28 |
| 1679065379 | Wendy Joan Dufour | Physical Therapist | 261 Mack Ave, Detroit, MI 48201-2495 | 2018-05-30 |
| 1457857005 | Daniel Wolocko | Physical Therapist | 36475 Five Mile Rd, Livonia, MI 48154-1971 | 2018-04-03 |
| 1679075659 | Kristen Hope Schuyten | Physical Therapist | 24 Frank Lloyd Wright Dr, Ann Arbor, MI 48105-9484 | 2018-03-06 |
| 1720580327 | David Selak | Physical Therapist | 39901 Traditions Dr, Northville, MI 48168-9493 | 2018-02-28 |
| 1033610886 | Derek Chan | Physical Therapist | 6525 2nd Ave, Detroit, MI 48202-3006 | 2018-02-27 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.