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

Michael Gerard Mikkelson, PTA

Individual provider Physical Therapy Assistant · NPI 1699867945

Michael Gerard Mikkelson, PTA is a Physical Therapy Assistant in Minneapolis, Minnesota. Registered with an NPI since 2006.

In the registry since
2006
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

2450 Riverside Ave
Minneapolis, MN 55454-1450
Phone: (612) 672-6000
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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

Record details

NPI number1699867945
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedSeptember 28, 2006
Last updated in NPPESMay 29, 2008
Mailing address2450 Riverside Ave, Minneapolis, MN 55454-1450

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