Individual provider · Type 1 NPI
Michelle Tavera, DPT
Pediatric Physical Therapist · Superior, WI
Practice location
1423 Central Ave
Superior, WI 54880-5963
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Physical Therapist Primary | 2251P0200X | 4260-24 (WI) |
Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…
4 other providers at this address
- Danielle Marie Rhinehart, PTAPhysical Therapy Assistant Superior, WI NPI 1346672490
- Halie Jean Richards, OTROccupational Therapist Superior, WI NPI 1386150050
- Jason Clyde Leveille, RNRegistered Nurse Superior, WI NPI 1053254771
- Mary Balcer, MA, CCC/SLPSpeech-Language Pathologist Superior, WI NPI 1245198597
About NPI 1639027675
Michelle Tavera, DPT's National Provider Identifier is 1639027675, issued on Mar 17, 2026. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Superior, WI. The record was last updated on Mar 17, 2026.