Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Michelle Aida Fannon, PT, DPT

Individual provider Physical Therapist · NPI 1053655902

Dr. Michelle Aida Fannon, PT, DPT is a Physical Therapist in Sacramento, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2012
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

2723 T St
Sacramento, CA 95816-7323
Phone: (916) 612-8624
Fax: (916) 674-1787
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 27986 (CA)

Record details

NPI number1053655902
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorYes
NPI enumeratedNovember 15, 2012
Last updated in NPPESNovember 15, 2012

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