Provider Demographics
NPI:1699376210
Name:TSIHLAS, MICHELE (C-IAYT)
Entity Type:Individual
Prefix:
First Name:MICHELE
Middle Name:
Last Name:TSIHLAS
Suffix:
Gender:F
Credentials:C-IAYT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14618 TYLER FOOTE RD # 203
Mailing Address - Street 2:
Mailing Address - City:NEVADA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95959-9316
Mailing Address - Country:US
Mailing Address - Phone:916-402-4854
Mailing Address - Fax:
Practice Address - Street 1:18411 TYLER FOOTE ROAD
Practice Address - Street 2:
Practice Address - City:NEVADA CITY
Practice Address - State:CA
Practice Address - Zip Code:95959
Practice Address - Country:US
Practice Address - Phone:916-402-4854
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-02
Last Update Date:2020-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172M00000XOther Service ProvidersMechanotherapist
No174H00000XOther Service ProvidersHealth EducatorGroup - Single Specialty