Provider Demographics
NPI:1578611281
Name:READER, MICHELLE M (PT)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:M
Last Name:READER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:MICHELLE
Other - Middle Name:M
Other - Last Name:WEBB
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MPT
Mailing Address - Street 1:4930 W KAWEAH CT
Mailing Address - Street 2:203
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93277-8324
Mailing Address - Country:US
Mailing Address - Phone:559-713-6806
Mailing Address - Fax:765-254-9739
Practice Address - Street 1:368 W OLIVE AVE
Practice Address - Street 2:
Practice Address - City:PORTERVILLE
Practice Address - State:CA
Practice Address - Zip Code:93257-3318
Practice Address - Country:US
Practice Address - Phone:559-782-1501
Practice Address - Fax:559-782-8528
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2015-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT425602251X0800X, 2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic