Provider Demographics
NPI:1750800140
Name:WRIGLEY, MICHELLE LORRIN (DPT)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:LORRIN
Last Name:WRIGLEY
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12111 NE 165TH PL
Mailing Address - Street 2:
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98011-7115
Mailing Address - Country:US
Mailing Address - Phone:206-920-8105
Mailing Address - Fax:
Practice Address - Street 1:4347 ROOSEVELT WAY NE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105-4717
Practice Address - Country:US
Practice Address - Phone:206-347-0414
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-17
Last Update Date:2017-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist