DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. TJODE M MICKELSON, D.C

Active Sole Proprietor

DR. TJODE M MICKELSON, D.C is a Chiropractor healthcare provider located in FESTUS, Missouri. NPI 1104808435 is currently active in the NPPES registry. Verify at CMS.

Chiropractor · FESTUS, MO

Registration Details

NPI Number
1104808435
Provider Type
Individual
Gender
Female
NPI Issued
Nov 14, 2005 (20.707413940071 yrs)
Last Updated
Jul 8, 2007
License
2005036767 (MO)
Sole Proprietor
Yes

Practice Information

Address
105 BORGA BUILDING
FESTUS, MO, 630281136
Browse MO providers · Browse ZIP 63028
Phone
6369373207
Fax
6369375307
Primary Specialty
Chiropractor
111N00000X

Other Chiropractor Providers in FESTUS, MO

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.