Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MIKAELA ELYSE MILLICAN, PT, DPT
Active Sole ProprietorMIKAELA ELYSE MILLICAN, PT, DPT is a Physical Therapy Assistant healthcare provider located in GRAND TERRACE, California. NPI 1992679963 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · GRAND TERRACE, CA
Registration Details
- NPI Number
- 1992679963
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 2, 2025 (0.84878030892095 yrs)
- Last Updated
- Oct 2, 2025
- License
-
PT308681 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
22195 VAN BUREN STGRAND TERRACE, CA, 923135614Browse CA providers · Browse ZIP 92313
- Phone
- 9099104332
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in GRAND TERRACE, CA
| Name | Credential | NPI |
|---|---|---|
| CHEONG KIM | PT | 1225072911 |
| CHRISTIAN HERNANDEZ ANIAG | DPT | 1275721995 |
| PABLO MLEZIVA | PHYSICAL THERAPIST | 1104015437 |
| ERIC JOHNSON | — | 1720263304 |
| MR. RICHARD CHARLES ORTIZ | PT | 1386957413 |
| MYUNGJIN KIM | P.T. | 1578861399 |
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.