Provider Demographics
NPI:1689964140
Name:LAGING, MICHELLE A (PT)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:A
Last Name:LAGING
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 1:2055 S ONEIDA ST STE 240
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80224-2404
Mailing Address - Country:US
Mailing Address - Phone:720-913-0302
Mailing Address - Fax:
Practice Address - Street 1:2055 S ONEIDA ST STE 240
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80224-2404
Practice Address - Country:US
Practice Address - Phone:720-913-0302
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-18
Last Update Date:2024-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO10224225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist