Provider Demographics
NPI:1134645328
Name:ONKKA, MICHAELA MARIE (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:MICHAELA
Middle Name:MARIE
Last Name:ONKKA
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:903 BARASINGHA ST
Mailing Address - Street 2:
Mailing Address - City:SEVERANCE
Mailing Address - State:CO
Mailing Address - Zip Code:80550-3813
Mailing Address - Country:US
Mailing Address - Phone:402-301-4949
Mailing Address - Fax:
Practice Address - Street 1:100 N 71ST AVE
Practice Address - Street 2:
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80634-9182
Practice Address - Country:US
Practice Address - Phone:970-348-5200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-18
Last Update Date:2023-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPTL.0015135225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist