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

Mikayla Andersen

Individual provider Physical Therapy Assistant · NPI 1679293534

Mikayla Andersen is a Physical Therapy Assistant in Idaho Falls, Idaho. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since
2022
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Practice location Address checks out

1460 Elk Creek Dr
Idaho Falls, ID 83404-8237
Phone: (208) 535-1286
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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 5646

Record details

NPI number1679293534
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 31, 2022
Last updated in NPPESAugust 31, 2022
Certification dateAugust 31, 2022
Mailing address842 E 1425 N, Shelley, ID 83274-5173

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