Kris M Mickelson
Kris M Mickelson is a Physical Therapy Assistant in Pewaukee, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2017.
- Licensed in
- WI
- In the registry since
- 2017
Practice location Address checks out
N30W23913 Green Rd Apt 7Pewaukee, WI 53072-5766
Phone: (414) 426-3859
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapy Assistant (primary) | Taxonomy 225200000X · Licence 492-19 (WI) |
|---|
Record details
| NPI number | 1356856199 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | December 1, 2017 |
| Last updated in NPPES | December 1, 2017 |
| Mailing address | N30w23913 Green Rd Apt 7, Pewaukee, WI 53072-5766 |
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