Individual
ANDREA MICHAELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
106 W WASHINGTON ST, STE 2, JEFFERSON, IA 50129-1920
(515) 386-4192
Mailing address
625 ENTERPRISE DR, OAK BROOK, IL 60523-8813
(630) 575-1932
(630) 928-5032
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
080849
IA
225200000X
Physical Therapy Assistant
01152
IA
Other
Enumeration date
09/28/2013
Last updated
12/02/2020
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