| NPI | 1366858748 |
|---|---|
| Former Name | MICHELLE RABEDEAUX |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 10890) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: IA 074480) |
| Enumeration Date | 2014-07-07 |
| Last Update Date | 2022-10-31 |