| NPI | 1548686512 |
|---|---|
| Former Name | MICHELLE RACHEL EVERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 10217PT) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: AZ 10217PT) |
| Enumeration Date | 2014-03-13 |
| Last Update Date | 2017-04-20 |