Provider Demographics
NPI:1063768059
Name:DOWNING, MICHELLE ELISABETH (DPT)
Entity type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:ELISABETH
Last Name:DOWNING
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 275
Mailing Address - Street 2:
Mailing Address - City:JUNCTION CITY
Mailing Address - State:OR
Mailing Address - Zip Code:97448-0275
Mailing Address - Country:US
Mailing Address - Phone:541-998-9988
Mailing Address - Fax:541-998-9987
Practice Address - Street 1:680 IVY ST
Practice Address - Street 2:
Practice Address - City:JUNCTION CITY
Practice Address - State:OR
Practice Address - Zip Code:97448-1636
Practice Address - Country:US
Practice Address - Phone:541-998-9988
Practice Address - Fax:541-998-9987
Is Sole Proprietor?:No
Enumeration Date:2012-07-27
Last Update Date:2012-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR69092251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic