Mikles, Molly Kiersten

Mikles, Molly Kiersten is an individual health care provider with primary practice located at 3988 E Fort Lowell Rd , Tucson AZ 85712-1010. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Mikles, Molly Kiersten can be contacted via phone (520) 488-5291.

Contact Information

Primary practice address
3988 E Fort Lowell Rd Tucson AZ 85712-1010
Phone: (520) 488-5291
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 5543 Arizona

Profile Details

NPI number 1326046483
LBN Legal business name Mikles, Molly Kiersten
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2005
Last updated Jul 14th, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1326046483 NPPES
Arizona MEDICAID 105729

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