# MRS. MICHELLE A. DILLON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1194723700
- **Gender:** F
- **Credential:** P.T.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | PT001635 | KY | Yes |

## Other

- **Enumeration date:** 07/08/2005
- **Last updated:** 07/08/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000049626 | ANTHEM BC/BS | KY |
| 01 | — | 6214 | CHA HEALTH | KY |
| 05 | — | 87016358 | — | KY |