Provider Demographics
NPI:1750662458
Name:ARSENAULT, MICHELE H (PT)
Entity Type:Individual
Prefix:MRS
First Name:MICHELE
Middle Name:H
Last Name:ARSENAULT
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:81 FOX RUN DR
Mailing Address - Street 2:
Mailing Address - City:TEWKSBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01876-2561
Mailing Address - Country:US
Mailing Address - Phone:978-640-9919
Mailing Address - Fax:
Practice Address - Street 1:81 FOX RUN DR
Practice Address - Street 2:
Practice Address - City:TEWKSBURY
Practice Address - State:MA
Practice Address - Zip Code:01876-2561
Practice Address - Country:US
Practice Address - Phone:978-640-9919
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-08
Last Update Date:2011-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA7266225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist