IndividualActive
Candice Michelson, PHYSICAL THERAPIST
NPI 1851613624 · Geriatric Physical Therapist · Kodiak, AK
Provider details
- NPI number
- 1851613624
- Entity type
- Individual
- Primary specialty
- Geriatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PHYSICAL THERAPIST
- Sex
- Female
- Sole proprietor
- No
- License
- 16092 (CA)
Practice location
1247 Mill Bay Rd
Kodiak, AK 99615-6409
Phone: (907) 486-9515
Fax: (907) 486-9516
Mailing address
3412 W 187th Pl
Torrance, CA 90504-5831
Registry dates
- Enumerated
- 2010-02-22
- Last updated
- 2010-02-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.