| Laura Mikkelsen, | |
|
820 Roy St, Ortonville, MN 56278-1138 | |
| (320) 839-4271 | |
| Not Available |
| Full Name | Laura Mikkelsen |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 820 Roy St, Ortonville, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063644524 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 8374 (Minnesota) | Primary |
| Provider Name | Avera St Marys |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1669457180 PECOS PAC ID: 0143134965 Enrollment ID: O20040225000579 |
| Mailing Address | Practice Location Address |
|---|---|
| Laura Mikkelsen, 1008 Dano Cir, Apt 2, Marshall, MN 56258-4606 Ph: () - | Laura Mikkelsen, 820 Roy St, Ortonville, MN 56278-1138 Ph: (320) 839-4271 |
Paul Rudebusch, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 820 Roy St, Ortonville, MN 56278 Phone: 320-839-4271 | |
Kayla Jo Findlay, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 450 Eastvold Ave, Ortonville, MN 56278 Phone: 320-839-4150 | |
Mr. Stephen Thomas Erlandson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 450 Eastvold Ave, Ortonville, MN 56278 Phone: 701-403-0128 | |
Neil Feist, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 820 Roy St, Ortonville, MN 56278 Phone: 320-839-4271 Fax: 320-839-4196 | |
Tessa L Capelle, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 820 Roy St, Ortonville, MN 56278 Phone: 320-839-4271 | |
Daniel Ziemer, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 309 Washington Ave, Ortonville, MN 56278 Phone: 320-839-4271 Fax: 320-839-4196 |