Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mandy Mickelson, PTA

Individual provider Physical Therapy Assistant · NPI 1659548063

Mandy Mickelson, PTA is a Physical Therapy Assistant in LA Crosse, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2008.

Licensed in
WI
In the registry since
2008
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

2501 Shelby Rd
LA Crosse, WI 54601-8037
Phone: (608) 788-5700
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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 1409-019 (WI)

Record details

NPI number1659548063
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedMay 14, 2008
Last updated in NPPESMay 14, 2008
Mailing address6232 State Highway 16, Sparta, WI 54656-3505

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