Provider Demographics
NPI:1639300833
Name:DREESZEN, MICHELLE R (PT, DPT, OCS)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:R
Last Name:DREESZEN
Suffix:
Gender:F
Credentials:PT, DPT, OCS
Other - Prefix:
Other - First Name:MICHELLE
Other - Middle Name:R
Other - Last Name:PIKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3650 LAKE OTIS PKWY
Mailing Address - Street 2:SUITE 201
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508-5218
Mailing Address - Country:US
Mailing Address - Phone:907-561-4280
Mailing Address - Fax:907-561-4282
Practice Address - Street 1:3650 LAKE OTIS PKWY
Practice Address - Street 2:SUITE 201
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-5218
Practice Address - Country:US
Practice Address - Phone:907-561-4280
Practice Address - Fax:907-561-4282
Is Sole Proprietor?:No
Enumeration Date:2009-08-05
Last Update Date:2016-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AKPHYP23502251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic