Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michelle Vidal

Individual provider Physical Therapy Assistant · NPI 1154790673

Michelle Vidal is a Physical Therapy Assistant in Los Angeles, California. Licensed in California. Registered with an NPI since 2015.

Licensed in
CA
In the registry since
2015

Practice location Address checks out

2265 Glover Pl
Los Angeles, CA 90031-1128
Phone: (323) 679-3505
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 10945 (CA)

Record details

NPI number1154790673
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 15, 2015
Last updated in NPPESSeptember 15, 2015

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