# BETH M MICKE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1023004199
- **Gender:** F
- **Credential:** OT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | 0464 | SD | Yes |

## Other

- **Enumeration date:** 09/23/2005
- **Last updated:** 03/31/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 101K4MI | BLUE CROSS BLUE SHIELD MN | SD |
| 01 | — | 1907880 | ARAZ | SD |
| 01 | — | 31685 | SIOUX VALLEY HEALTH PLANS | SD |
| 01 | — | 4994834 | BLUE CROSS BLUE SHIELD SD | SD |
| 01 | — | 4996085 | BLUE CROSS BLUE SHIELD SD | SD |
| 01 | — | 4996086 | BLUE CROSS BLUE SHIELD SD | SD |
| 01 | — | 4996087 | BLUE CROSS BLUE SHIELD SD | SD |
| 05 | — | 5834110 | — | SD |
| 05 | — | 5834112 | — | SD |
| 05 | — | 5834113 | — | SD |
| 05 | — | 5834114 | — | SD |
| 01 | — | 64-04068 | MEDICA | SD |
| 01 | — | 64-04069 | MEDICA | SD |
| 01 | — | 64-04070 | MEDICA | SD |
| 01 | — | 64-05328 | MEDICA | SD |