Individual
NICHOLLE MICHAUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2701 CHESTNUT STATION CT, LOUISVILLE, KY 40299-6395
(800) 335-1060
Mailing address
221 BIRNIE AVE, WEST SPRINGFIELD, MA 01089-4478
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10730
CT
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
1548
CT
Other
Enumeration date
05/08/2015
Last updated
10/25/2018
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