Individual
EMILY GRACE MIKKOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4905 N BROADWAY ST, KNOXVILLE, TN 37918-2315
(865) 689-8299
Mailing address
6526 BAKERSFIELD WAY, KNOXVILLE, TN 37918-5183
(865) 689-8299
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16478
TN
Other
Enumeration date
08/14/2025
Last updated
08/14/2025
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