Individual provider · Type 1 NPI

Tjode M. Mickelson, D.C

Chiropractor · Festus, MO

NPI number 1104808435 Active

Practice location

105 Borga Building
Festus, MO 63028-1136

Call (636) 937-3207 Map

Fax (636) 937-5307

Mailing address

8914 Kathlyn Dr
St. Louis, MO 63134-3552

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X2005036767 (MO)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

4 other providers at this address

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About NPI 1104808435

Tjode M. Mickelson, D.C's National Provider Identifier is 1104808435, issued on Nov 14, 2005. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Festus, MO. The record was last updated on Jul 8, 2007.