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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MICHAELA BROOKE LUPO, DPT

Active

MICHAELA BROOKE LUPO, DPT is a Physical Therapy Assistant healthcare provider located in LA GRANDE, Oregon. NPI 1881241834 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · LA GRANDE, OR

Registration Details

NPI Number
1881241834
Provider Type
Individual
Gender
Female
NPI Issued
Aug 23, 2019 (6.9708432652919 yrs)
Last Updated
Aug 23, 2019
Licenses
11-06290 (KS)
2019021794 (MO)
63427 (OR)

Practice Information

Address
2519 COVE AVE
LA GRANDE, OR, 978503910
Browse OR providers · Browse ZIP 97850
Phone
5419620830
Fax
5419752720
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in LA GRANDE, OR

Name Credential NPI
JAMES ARTHUR GORHAM PT 1003898958
MR. BENJAMIN MICHAEL BERTRAND P.T. 1124000583
DAVID CARL EBEL P.T. 1801879713
MRS. CORRINE DENISE DUTTO M.P.T. 1982636213
MR. RONALD WAYNE BABCOCK JR. PT 1972537272
DR. SHANTAY SABIN MAYES D.P.T. 1609075779
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.