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Search › California › 225200000X

Michelle Theis-Black, PTA

NPI 1679064927 · on the registry since 2018

Practice

Address
2730 Wilshire Blvd Ste 533
Santa Monica, CA 90403
Phone
(310) 828-0101
Organisation at this address
Joan Shaver
Moment Health
Skin By Lovely
Cooper Optometry
Kirsch Audiology
Inferred from a shared address, not stated in the registry.
Clinicians at this address
137

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-05-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California