Individual
MICHELLE LYNN MIKULS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
11912 ELM ST, SUITE 106, OMAHA, NE 68144-4443
(402) 630-9756
(402) 504-3535
Mailing address
2309 N 147TH ST, OMAHA, NE 68116-5129
(402) 932-2522
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
NE1250
NE
Other
Enumeration date
09/30/2010
Last updated
09/30/2010
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