Individual
MICHELLE MULKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1110 COLUMBINE DR, HOLTON, KS 66436-8824
(785) 364-2116
Mailing address
3009 NE QUINCY ST, TOPEKA, KS 66617-1431
(785) 364-2116
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-01590
KS
Other
Enumeration date
09/13/2006
Last updated
07/08/2007
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