Mickelson, Mandy
Mickelson, Mandy is an individual health care provider with primary practice located at 2501 Shelby Rd , La Crosse WI 54601-8037. 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. Mickelson, Mandy can be contacted via phone (608) 788-5700.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 1409-019 | Wisconsin |
Profile Details
NPI number | 1659548063 |
---|---|
LBN Legal business name | Mickelson, Mandy |
Credentials | Physical Therapist Assistant (PTA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 14th, 2008 |
Last updated | May 14th, 2008 - about 17 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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