Provider Demographics
NPI:1578615662
Name:MICHLER, NANCY (PT, OCS)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:MICHLER
Suffix:
Gender:F
Credentials:PT, OCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7851 WALKER ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:LA PALMA
Mailing Address - State:CA
Mailing Address - Zip Code:90623-1747
Mailing Address - Country:US
Mailing Address - Phone:714-739-4941
Mailing Address - Fax:714-670-8711
Practice Address - Street 1:7851 WALKER ST
Practice Address - Street 2:SUITE 202
Practice Address - City:LA PALMA
Practice Address - State:CA
Practice Address - Zip Code:90623-1747
Practice Address - Country:US
Practice Address - Phone:714-739-4941
Practice Address - Fax:714-670-8711
Is Sole Proprietor?:No
Enumeration Date:2007-01-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT159552251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWPT15955AMedicare ID - Type UnspecifiedPPIN