Individual provider · Type 1 NPI

Rusty Mikolas, ATP

Other Technician · Houston, TX

NPI number 1508407966 Active

Practice location

9494 Kirby Dr
Houston, TX 77054-2521

Call (713) 791-9080 Map

Fax (713) 791-9084

Mailing address

5959 Shallowford Rd Ste 443
Chattanooga, TN 37421-2245

Specialties and licenses

TaxonomyCodeLicense
Other Technician Primary 247200000X90894 (TX)

Other Technician: A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

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About NPI 1508407966

Rusty Mikolas, ATP's National Provider Identifier is 1508407966, issued on Oct 7, 2019. The primary taxonomy on file is Other Technician (247200000X), and the practice location is in Houston, TX. The record was last updated on May 29, 2026.