Mrs Cynthia Leann Mickelson, BA, MOTR/L is a
Occupational Therapist based in Waite Park, Minnesota. Mrs Cynthia Leann Mickelson is licensed to practice in Minnesota (license number 104887) and her current practice location is
110 2nd St S, Waite Park, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(320) 402-4401.
NPI number for Mrs Cynthia Leann Mickelson is 1588972962 and her current mailing address is 110 2nd St S, Waite Park, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1588972962.
Healthcare Provider's Profile
Full Name | Mrs Cynthia Leann Mickelson |
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Gender | Female |
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Speciality | Occupational Therapist |
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Location | 110 2nd St S, Waite Park, Minnesota |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1588972962
- Provider Enumeration Date: 09/20/2010
- Last Update Date: 10/19/2023
Medical Identifiers
Medical identifiers for Mrs Cynthia Leann Mickelson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1588972962 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | 3707 (Connecticut) | Secondary |
225X00000X | Occupational Therapist | 4686 (Arizona) | Secondary |
225X00000X | Occupational Therapist | 3127 (Colorado) | Secondary |
225X00000X | Occupational Therapist | 277541 (Oregon) | Secondary |
225X00000X | Occupational Therapist | 104887 (Minnesota) | Primary |
225X00000X | Occupational Therapist | 12363 (California) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Cynthia Leann Mickelson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Cynthia Leann Mickelson, BA, MOTR/L 110 2nd St S, Waite Park, MN 56387-1662 Ph: (320) 402-4401 | Mrs Cynthia Leann Mickelson, BA, MOTR/L 110 2nd St S, Waite Park, MN 56387-1662 Ph: (320) 402-4401 |
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