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Individual
MICHELLE NEWSOM
Active
Individual
MICHELLE NEWSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305203568
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
143281
AN/HK
—
01
—
183574
ANTHEM PPO
—
01
—
184946
HEALTHKEEPERS
—
01
—
255534
SOUTHERN HEALTH
—
01
—
329180
MAMSI
—
01
—
412143526
CIGNA
—
01
—
429180
MAMSI
—
01
—
54960
MEDICAID HMO
—
01
—
6400713
UNITED HEALTHCARE
—
01
—
6404543
UNITED HEALTHCARE
—
01
—
7630753
AETNA HMO
—
Enumeration date
04/12/2006
Last updated
06/02/2025
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