Provider Demographics
NPI:1336496470
Name:ATKINSON, MICHELLE L (DPT)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:L
Last Name:ATKINSON
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4714 MILESTONE LN
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80104-7907
Mailing Address - Country:US
Mailing Address - Phone:303-660-5349
Mailing Address - Fax:033-660-5379
Practice Address - Street 1:4714 MILESTONE LN
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80104-7907
Practice Address - Country:US
Practice Address - Phone:303-660-5349
Practice Address - Fax:303-660-5379
Is Sole Proprietor?:No
Enumeration Date:2012-08-08
Last Update Date:2022-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT27632225100000X
COPTL.0015756225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist