Chad Mickelson, DPT

NPI #1902562382 in Saint Cloud, Minnesota

Provider Information

NPI Number: 1902562382
Entity Type: Individual
Name: Chad Mickelson, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Nov 10, 2021
Last Updated: Nov 10, 2021

Practice Location

Address: 4801 VETERANS DR
City: Saint Cloud
State: Minnesota
ZIP Code: 56303-2015
Phone: (320) 252-1670

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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