Provider Demographics
NPI:1285241372
Name:BICKEL, MICHELLE COLLEEN (PT, DPT)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:COLLEEN
Last Name:BICKEL
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:808 1ST ST
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98033-5418
Mailing Address - Country:US
Mailing Address - Phone:801-953-5335
Mailing Address - Fax:888-524-4116
Practice Address - Street 1:808 1ST ST
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98033-5418
Practice Address - Country:US
Practice Address - Phone:801-953-5335
Practice Address - Fax:888-524-4116
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-23
Last Update Date:2025-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT61081926225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist