| NPI | 1134329824 |
|---|---|
| Former Name | MICHAELA J TIBBETTS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P15473) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 008134) |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2026-04-15 |