Individual
MS. MICHELLE DECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
8540 SCARBOROUGH DR, SUITE #200, COLORADO SPRINGS, CO 80920-7502
(719) 630-7500
Mailing address
8540 SCARBOROUGH DR, SUITE #200, COLORADO SPRINGS, CO 80920-7502
(719) 630-7500
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
0284A
AZ
225200000X
Physical Therapy Assistant
Primary
PTA48929
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0284A
—
AZ
Enumeration date
07/02/2015
Last updated
06/11/2019
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