Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHELLE AIDA FANNON, PT, DPT
Active Sole ProprietorDR. MICHELLE AIDA FANNON, PT, DPT is a Physical Therapy Assistant healthcare provider located in SACRAMENTO, California. NPI 1053655902 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · SACRAMENTO, CA
Registration Details
- NPI Number
- 1053655902
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 15, 2012 (13.760454783051 yrs)
- Last Updated
- Nov 15, 2012
- License
-
27986 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2723 T STSACRAMENTO, CA, 958167323Browse CA providers · Browse ZIP 95816
- Phone
- 9166128624
- Fax
- 9166741787
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in SACRAMENTO, CA
| Name | Credential | NPI |
|---|---|---|
| SCOTT THOMAS TILSON | P.T. | 1124020839 |
| MR. BRYAN ELLIOT WILLIAMS | MSPT | 1851372874 |
| GINA MARIE SMITH | PT | 1912989294 |
| MS. JANET LEAH RETKE | P.T. | 1780666867 |
| MR. DANIEL LEE QUASIUS | PT | 1689656118 |
| CHAD PATRICK SHERLOCK | DPT | 1043293418 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.