Individual
CHLOE MICKELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1519 BASIN ST SW, EPHRATA, WA 98823-2135
(509) 754-2461
Mailing address
19300 STRATFORD RD NE, MOSES LAKE, WA 98837-9831
(509) 770-3427
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
100250
CA
Other
Enumeration date
11/18/2025
Last updated
11/18/2025
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