Individual
MICHELLE ANNETTE MCCALLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
3480 YORKSHIRE MEDICAL PARK, LEXINGTON, KY 40509-1886
(859) 263-5140
(859) 263-5141
Mailing address
3480 YORKSHIRE MEDICAL PARK, LEXINGTON, KY 40509-1886
(859) 263-5140
(859) 263-5141
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
005034
KY
225100000X
Physical Therapist
PT007527L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100469330
—
KY
Enumeration date
02/18/2006
Last updated
07/21/2022
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