Provider Demographics
NPI:1225356371
Name:FUHR, MICHELLE SUZANNE (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:SUZANNE
Last Name:FUHR
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 1:1060 KROBOT WAY
Mailing Address - Street 2:
Mailing Address - City:MILTON
Mailing Address - State:GA
Mailing Address - Zip Code:30004-4439
Mailing Address - Country:US
Mailing Address - Phone:678-756-8863
Mailing Address - Fax:
Practice Address - Street 1:1060 KROBOT WAY
Practice Address - Street 2:
Practice Address - City:MILTON
Practice Address - State:GA
Practice Address - Zip Code:30004-4439
Practice Address - Country:US
Practice Address - Phone:678-756-8863
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-13
Last Update Date:2015-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT009384225100000X
FLPT24090225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist