Individual
KENSEY MIKKELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
211 MCKINLEY ST STE 1, LEWISTOWN, MT 59457-2353
(406) 535-5001
Mailing address
PO BOX 711185, SALT LAKE CITY, UT 84171-1185
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTP-PT-LIC-21669
MT
Other
Enumeration date
07/20/2021
Last updated
03/20/2023
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