Individual
MICHELLE BIDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2010 SW H K DODGEN LOOP STE 201, TEMPLE, TX 76504-7056
(254) 774-9991
(254) 774-9980
Mailing address
2010 SW H K DODGEN LOOP STE 201, TEMPLE, TX 76504-7056
(254) 774-9991
(254) 774-9980
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
205-7860
TX
Other
Enumeration date
04/28/2014
Last updated
04/28/2014
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