Provider Demographics
NPI:1558970053
Name:OAKLEY, MICHELLE LEIGH (PTA,LMT)
Entity Type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:LEIGH
Last Name:OAKLEY
Suffix:
Gender:F
Credentials:PTA,LMT
Other - Prefix:MS
Other - First Name:MICHELLE
Other - Middle Name:LEIGH
Other - Last Name:MILBURN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8679 E SAN ALBERTO
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-4368
Mailing Address - Country:US
Mailing Address - Phone:480-447-3262
Mailing Address - Fax:
Practice Address - Street 1:8679 E SAN ALBERTO
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-4368
Practice Address - Country:US
Practice Address - Phone:480-447-3262
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-30
Last Update Date:2020-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ013108225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant