Evan James Michelson Valid NPI
Individual provider · Physical Therapist · Kingman, AZ
- NPI
- 1245050798
- Type
- Individual (Type 1)
- Primary specialty
- Physical Therapist
- Specialty group
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy code
- 225100000X
- License number
- LPT-010285 (AZ)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2024-10-10
- Last updated
- 2024-10-10
Practice location
2403 N Stockton Hill Rd Ste 4and5
Kingman, AZ 86401-4188
(928) 529-5311