Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Martina N/A Mikulic, DPT

Individual provider Physical Therapist · NPI 1659040269

Martina N/A Mikulic, DPT is a Physical Therapist in Willard, Missouri. Practices as a sole proprietor. Licensed in Missouri and Pennsylvania.

Licensed in
MO, PA
In the registry since
2021
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

304 E Jackson St Ste 2F
Willard, MO 65781-9472
Phone: (417) 221-4667
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2024025501 (MO)
Physical Therapist Taxonomy 225100000X · Licence PT029692 (PA)

Record details

NPI number1659040269
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorYes
NPI enumeratedSeptember 8, 2021
Last updated in NPPESJuly 15, 2024
Certification dateJuly 15, 2024

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