IndividualActive
Michelle Phebus, ATC
NPI 1104362839 · Other Specialist/Technologist · Severn, MD
Provider details
- NPI number
- 1104362839
- Entity type
- Individual
- Primary specialty
- Other Specialist/TechnologistTechnologists, Technicians & Other Technical Service Providers
- Credential
- ATC
- Sex
- Female
- Sole proprietor
- No
- License
- A0000632 (MD)
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
1812 Lorgnette Ct
Severn, MD 21144-1635
Phone: (443) 844-6696
Approximate (ZIP-level) locationGet directions
Mailing address
1812 Lorgnette Ct
Severn, MD 21144-1635
Registry dates
- Enumerated
- 2017-01-19
- Last updated
- 2017-01-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.