Individual ProviderMichaela BirdPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address9325 Upland Ln N, Suite 230, Maple Grove, MN 55369-4200(763) 315-0466PECOS EnrollmentBased on the most recent information from CMS, provider Michaela Bird does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1982076030Provider TypeIndividualFull NameBird, MichaelaGenderFemaleSole ProprietorNoEnumeration Date10/28/2015Last Updated10/28/2015Contact InformationPractice LocationPractice Address9325 Upland Ln N, Suite 230, Maple Grove, MN 55369-4200Phone(763) 315-0466FaxUnlisted FaxMailing LocationMailing Address9325 Upland Ln N, Suite 230, Maple Grove, MN 55369-4200Phone(763) 315-0466FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense10083Minnesota