Individual provider · Type 1 NPI

Kris M. Mickelson

Physical Therapy Assistant · Pewaukee, WI

NPI number 1356856199 Active

Practice location

N30W23913 Green Rd Apt 7
Pewaukee, WI 53072-5766

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X492-19 (WI)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1356856199

Kris M. Mickelson's National Provider Identifier is 1356856199, issued on Dec 1, 2017. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Pewaukee, WI. The record was last updated on Dec 1, 2017.