Provider Demographics
NPI:1548070634
Name:AQUIO, MICHEL (PT)
Entity type:Individual
Prefix:MS
First Name:MICHEL
Middle Name:
Last Name:AQUIO
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 1:13680 EDMANDS DR
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89511-6248
Mailing Address - Country:US
Mailing Address - Phone:775-745-1795
Mailing Address - Fax:
Practice Address - Street 1:13680 EDMANDS DR
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89511-6248
Practice Address - Country:US
Practice Address - Phone:775-745-1795
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-10
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV0422225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist