Individual
MICHELLE PERSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
4115 CLUB MANOR DRIVE, PUEBLO, CO 81008
(719) 568-9790
Mailing address
4115 CLUB MANOR DRIVE, PUEBLO, CO 81008
(719) 568-9790
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL.0013020
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
96254742
—
CO
Enumeration date
11/17/2014
Last updated
04/04/2023
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