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

Robby John Mickelson, PTA

Individual provider Physical Therapy Assistant · NPI 1386460954

Robby John Mickelson, PTA is a Physical Therapy Assistant in Dalton, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2024
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

1212 Broadrick Dr
Dalton, GA 30720-2503
Phone: (706) 270-8008
Fax: (706) 259-6426
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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 PTA002859 (GA)

Record details

NPI number1386460954
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedNovember 28, 2024
Last updated in NPPESNovember 28, 2024
Certification dateNovember 28, 2024
Mailing address1501 Summer Gate Way Apt 12, Dalton, GA 30720-5385

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