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

Michelle Lynn Dornan-Vickery

Individual provider Rehabilitation Practitioner · NPI 1396618179

Michelle Lynn Dornan-Vickery is a Rehabilitation Practitioner in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2025.

Licensed in
MN
In the registry since
2025

Practice location Address checks out

1 Veterans Dr
Minneapolis, MN 55417-2309
Phone: (612) 629-7537
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X · Licence 22977 (MN)

Record details

NPI number1396618179
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 26, 2025
Last updated in NPPESSeptember 26, 2025
Certification dateSeptember 26, 2025

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