Individual
KIMBERLY MICHELE MICHELETTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
120 W PEARL AVE, JACKSON, WY 83001-8657
(307) 734-9129
Mailing address
PO BOX 9191, JACKSON, WY 83002-9191
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
295238
CA
Other
Enumeration date
08/11/2018
Last updated
05/09/2022
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