Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MICHELLE LEA FULK
ActiveMR. MICHELLE LEA FULK is a Developmental Therapist healthcare provider located in BELOIT, Wisconsin. NPI 1063621498 is currently active in the NPPES registry. Verify at CMS.
Developmental Therapist · BELOIT, WI
Registration Details
- NPI Number
- 1063621498
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 22, 2007 (19.044091733907 yrs)
- Last Updated
- Jul 8, 2007
Practice Information
- Address
-
2530 SHADY LNBELOIT, WI, 535117029Browse WI providers · Browse ZIP 53511
- Phone
- 6083619881
- Primary Specialty
-
Developmental Therapist
222Q00000X
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.