MIKAYLA ANDERSEN

IDAHO FALLS, ID
NPI1679293534
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence:   5646)
Enumeration Date2022-08-31
Last Update Date2022-08-31
Business Address
MIKAYLA ANDERSEN
1460 ELK CREEK DR
IDAHO FALLS, ID 83404-8237
Phone number: 208-535-1286
Mailing Address
MIKAYLA ANDERSEN
842 E 1425 N
SHELLEY, ID 83274-5173
Phone number: