Individual
MICHAELA MAHAKIJKITTICHAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
615 7TH ST SW, ROCHESTER, MN 55902-2052
(507) 328-3000
Mailing address
615 7TH ST SW, ROCHESTER, MN 55902-2052
(507) 328-3000
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1028823
MN
235Z00000X
Speech-Language Pathologist
Primary
2021030574
MO
235Z00000X
Speech-Language Pathologist
5288
KS
Other
Enumeration date
09/24/2021
Last updated
05/18/2026
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