Michele Allen, PTA

Individual provider Active NPI Physical Therapy Assistant · Louisville, KY

NPI 1417529108 · NPPES record last updated Jul 13, 2021

Key facts

NPI
1417529108
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
5502002427 (MI)
Practice address
2701 Chestnut Station CT
Louisville, KY 40299-6395
Phone
(800) 335-1060
NPI assigned
Jul 13, 2021
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
5502002427MIMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 5502002427 MI Yes

Addresses

Primary practice location

2701 Chestnut Station CT
Louisville, KY 40299-6395

Mailing address

34168 Rockford Rd
Sterling Heights, MI 48312-5668
Phone (248) 892-1980

Other names

  • Michele Williams Former name

Other providers in Louisville, KY

All providers in Louisville, KY · Physical Therapy Assistant in Kentucky

Sources for this page

Verify at the official NPI Registry.