Individual provider · Type 1 NPI

Mandy Mickelson, PTA

Physical Therapy Assistant · La Crosse, WI

NPI number 1659548063 Active

Practice location

2501 Shelby Rd
La Crosse, WI 54601-8037

Mailing address

6232 State Highway 16
Sparta, WI 54656-3505

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X1409-019 (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 1659548063

Mandy Mickelson, PTA's National Provider Identifier is 1659548063, issued on May 14, 2008. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in La Crosse, WI. The record was last updated on May 14, 2008.