Individual
ALEXANDER MICKELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1915 PHILADELPHIA ST, AMES, IA 50010-8768
(515) 232-7220
(515) 727-8757
Mailing address
850 43RD AVE STE 100, MOLINE, IL 61265-8401
(309) 743-2070
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
108404
IA
Other
Enumeration date
06/25/2021
Last updated
11/09/2023
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