Michael Mikesh

NPI #1700231396 in Gonzales, Texas

Provider Information

NPI Number: 1700231396
Entity Type: Individual
Name: Michael Mikesh
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: May 2, 2016
Last Updated: May 2, 2016

Practice Location

Address: 1110 N SARAH DEWITT DR
City: Gonzales
State: Texas
ZIP Code: 78629-3311
Phone: (830) 672-7581

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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