National Provider Identifier

Michael Micca, DPT

Michael Micca, DPT is listed in the NPPES registry with a primary specialty of Physical Therapist in Webster, NY and a listed phone number of (585) 671-1030.

NPI 1578088704Webster, NYPhysical Therapist

Profile Overview

NPI
1578088704
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
August 09, 2017
Last Updated
July 10, 2019

Practice Location

  • 2000 Empire Blvd Bldg 2
  • Webster, NY 14580-1957

Phone: (585) 671-1030

Specialties

  • Physical Therapist (225100000X)
Full Record
NPI
1578088704
Entity Type
Individual
Last Name
Micca
First Name
Michael
Credential
DPT
Mailing Street Address
2000 Empire Blvd Bldg 2
Mailing City
Webster
Mailing State
NY
Mailing ZIP Code
14580-1957
Mailing Country
US
Practice Street Address
2000 Empire Blvd Bldg 2
Practice City
Webster
Practice State
NY
Practice ZIP Code
14580-1957
Practice Country
US
Practice Phone
(585) 671-1030
Practice Fax
(585) 671-1991
Enumeration Date
August 09, 2017
Last Updated
July 10, 2019
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X)