Provider Demographics
NPI:1710297833
Name:RICE, MICHELLE A (MSPT)
Entity Type:Individual
Prefix:MS
First Name:MICHELLE
Middle Name:A
Last Name:RICE
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:MS
Other - First Name:MICHELLE
Other - Middle Name:A
Other - Last Name:ALVAREZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSPT
Mailing Address - Street 1:PO BOX 7663
Mailing Address - Street 2:
Mailing Address - City:SEBRING
Mailing Address - State:FL
Mailing Address - Zip Code:33872-0112
Mailing Address - Country:US
Mailing Address - Phone:863-658-1797
Mailing Address - Fax:863-385-0508
Practice Address - Street 1:931 MALL RING RD
Practice Address - Street 2:
Practice Address - City:SEBRING
Practice Address - State:FL
Practice Address - Zip Code:33870-8515
Practice Address - Country:US
Practice Address - Phone:863-658-1797
Practice Address - Fax:863-385-0508
Is Sole Proprietor?:No
Enumeration Date:2010-10-08
Last Update Date:2015-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT18312225100000X, 261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy