Provider Demographics
NPI:1538757497
Name:MICHEL, SHIRLEY ANNE
Entity type:Individual
Prefix:
First Name:SHIRLEY
Middle Name:ANNE
Last Name:MICHEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:440 PEARL ST
Mailing Address - Street 2:
Mailing Address - City:WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98801-3132
Mailing Address - Country:US
Mailing Address - Phone:509-741-7213
Mailing Address - Fax:
Practice Address - Street 1:440 PEARL ST
Practice Address - Street 2:
Practice Address - City:WENATCHEE
Practice Address - State:WA
Practice Address - Zip Code:98801-3132
Practice Address - Country:US
Practice Address - Phone:509-741-7213
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-06
Last Update Date:2021-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist