| NPI | 1942634795 |
|---|---|
| Former Name | MICHELLE GIESEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2023043961) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501016457) |
| 225100000X Physical Therapist (Licence: WI 12946) | |
| Enumeration Date | 2013-08-29 |
| Last Update Date | 2024-01-22 |