Provider Demographics
NPI:1255777892
Name:MICHELS, NATHAN SCOTT (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:NATHAN
Middle Name:SCOTT
Last Name:MICHELS
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8505 MIDLOTHIAN TPKE STE A
Mailing Address - Street 2:
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23235-5123
Mailing Address - Country:US
Mailing Address - Phone:804-330-3860
Mailing Address - Fax:
Practice Address - Street 1:8505 MIDLOTHIAN TPKE STE A
Practice Address - Street 2:
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23235-5123
Practice Address - Country:US
Practice Address - Phone:804-330-3860
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-21
Last Update Date:2025-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305207955225100000X
NCCPO15815T225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist