Individual
MRS. ADDIE MIKESELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
750 CHESTNUT ST, GREENVILLE, OH 45331-1312
(937) 547-8000
Mailing address
1717 RUSH RD, NEW MADISON, OH 45346-8710
(937) 459-6733
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
015055
OH
Other
Enumeration date
10/05/2020
Last updated
10/05/2020
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