Andersen, Mikayla

Andersen, Mikayla is an sole proprietor health care provider with primary practice located at 1460 Elk Creek Dr , Idaho Falls ID 83404-8237. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Andersen, Mikayla can be contacted via phone (208) 535-1286.

Contact Information

Primary practice address
1460 Elk Creek Dr Idaho Falls ID 83404-8237
Phone: (208) 535-1286
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 5646

Profile Details

NPI number 1679293534
LBN Legal business name Andersen, Mikayla
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2022
Last updated Aug 31st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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