Provider Demographics
NPI:1215028600
Name:POSS, MICHELE PATRICIA (PT)
Entity Type:Individual
Prefix:MRS
First Name:MICHELE
Middle Name:PATRICIA
Last Name:POSS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4875 MILLS CIVIC PKWY
Mailing Address - Street 2:
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50265-5268
Mailing Address - Country:US
Mailing Address - Phone:515-440-6700
Mailing Address - Fax:515-440-6715
Practice Address - Street 1:4875 MILLS CIVIC PKWY
Practice Address - Street 2:
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50265-5268
Practice Address - Country:US
Practice Address - Phone:515-440-6700
Practice Address - Fax:515-440-6715
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2011-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA0047112251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic