Mccormick, Michelle Marie

Mccormick, Michelle Marie is an individual health care provider with primary practice located at 1516 4Th St Ne , Watertown SD 57201-6824. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Mccormick, Michelle Marie can be contacted via phone (605) 753-0430.

Contact Information

Primary practice address
1516 4Th St Ne Watertown SD 57201-6824
Phone: (605) 753-0430
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 8775 North Carolina
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 6215 Minnesota
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 1491 South Dakota

Profile Details

NPI number 1972560761
LBN Legal business name Mccormick, Michelle Marie
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated May 10th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972560761 NPPES
North Carolina Other 078TN BCBS

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