Individual
MICHELLE ELIZABETH LIEPOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
920
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36178700
—
WI
05
—
578693000
—
MN
01
—
650023786
RAILROAD MEDICARE
MN
05
—
ENROLLED
—
IA
05
—
ENROLLED
—
MN
Enumeration date
01/17/2006
Last updated
04/23/2010
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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