Provider Demographics
NPI:1700070745
Name:ECKES, MICHELE LYNN (MS, ATC, CO)
Entity Type:Individual
Prefix:MISS
First Name:MICHELE
Middle Name:LYNN
Last Name:ECKES
Suffix:
Gender:F
Credentials:MS, ATC, CO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 MANNING DR
Mailing Address - Street 2:1ST FLOOR WEST WING UNC BRACE SHOP
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-4220
Mailing Address - Country:US
Mailing Address - Phone:919-966-4630
Mailing Address - Fax:919-966-4062
Practice Address - Street 1:101 MANNING DR
Practice Address - Street 2:1ST FLOOR WEST WING UNC BRACE SHOP
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-4220
Practice Address - Country:US
Practice Address - Phone:919-966-4630
Practice Address - Fax:919-966-4062
Is Sole Proprietor?:No
Enumeration Date:2007-09-04
Last Update Date:2007-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist