Individual
KELSEY ROSE MICKSCHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2540 COUNTY ROAD F E, WHITE BEAR TOWNSHIP, MN 55110-3935
(651) 410-6420
Mailing address
1045 COUNTY ROAD B W, ROSEVILLE, MN 55113-4407
(651) 410-6420
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9768
MN
Other
Enumeration date
05/11/2026
Last updated
05/11/2026
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