| NPI | 1184911018 | 
|---|---|
| Former Name | MICHELLE D RIETMAN | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05010644A)  | 
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY 005833)  | 
| Enumeration Date | 2011-06-29 | 
| Last Update Date | 2018-11-09 |