Provider Demographics
NPI:1356358683
Name:SILVEY, MICHELLE A (PT)
Entity type:Individual
Prefix:MS
First Name:MICHELLE
Middle Name:A
Last Name:SILVEY
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 1:2049 E 3RD ST APT 14
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90814-6152
Mailing Address - Country:US
Mailing Address - Phone:562-433-4973
Mailing Address - Fax:
Practice Address - Street 1:16630 S BROADWAY ST
Practice Address - Street 2:
Practice Address - City:GARDENA
Practice Address - State:CA
Practice Address - Zip Code:90248-2716
Practice Address - Country:US
Practice Address - Phone:310-768-8155
Practice Address - Fax:310-768-8313
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2007-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT 199612251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic