Individual
MICHELE PADEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2701 W EDGEWOOD DR STE 105, JEFFERSON CITY, MO 65109-5890
(573) 761-5130
Mailing address
2036 STERLING RIDGE DR, HOLTS SUMMIT, MO 65043-1843
(816) 935-0293
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
101394
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104995083
NPI
MO
Enumeration date
11/07/2006
Last updated
12/08/2022
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