Provider Demographics
NPI:1073646006
Name:WEBB, MICHELE APRIL (PT)
Entity type:Individual
Prefix:
First Name:MICHELE
Middle Name:APRIL
Last Name:WEBB
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1020 TROJAN RUN DR
Mailing Address - Street 2:
Mailing Address - City:SODDY DAISY
Mailing Address - State:TN
Mailing Address - Zip Code:37379-5370
Mailing Address - Country:US
Mailing Address - Phone:423-332-1693
Mailing Address - Fax:
Practice Address - Street 1:188 16TH AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:DAYTON
Practice Address - State:TN
Practice Address - Zip Code:37321-1036
Practice Address - Country:US
Practice Address - Phone:423-570-0911
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN7083225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist