Individual
MIKAYLA ANN CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4429 E 56TH ST, DAVENPORT, IA 52807-2995
(563) 441-3000
(563) 441-3020
Mailing address
4429 E 56TH ST, DAVENPORT, IA 52807-2995
(563) 441-3000
(563) 441-3020
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
117244
IA
Other
Enumeration date
01/18/2024
Last updated
01/18/2024
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