Provider Demographics
NPI:1598146524
Name:CANTRAL, MICHAELA M (DPT)
Entity Type:Individual
Prefix:MS
First Name:MICHAELA
Middle Name:M
Last Name:CANTRAL
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 1:9608 COUNTY ROAD P17
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:NE
Mailing Address - Zip Code:68002-5120
Mailing Address - Country:US
Mailing Address - Phone:308-293-3513
Mailing Address - Fax:
Practice Address - Street 1:13911 GOLD CIR
Practice Address - Street 2:STE 110
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68144-2378
Practice Address - Country:US
Practice Address - Phone:402-933-8383
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-16
Last Update Date:2015-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic