Individual provider · Type 1 NPI

Michelle Suzanne Larue, PT

Physical Therapist · Shaw Afb, SC

NPI number 1184154528 Active

Practice location

420 Polifka Dr Bldg 1042
Shaw Afb, SC 29152-5100

Call (803) 895-6604 Map

Mailing address

12 Briarcrest Rd
Viburnum, MO 65566-8617

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist Primary 225100000X2016027662 (MO)

Physical Therapist: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, r…

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About NPI 1184154528

Michelle Suzanne Larue, PT's National Provider Identifier is 1184154528, issued on Jun 18, 2017. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Shaw Afb, SC. The record was last updated on Oct 23, 2026.