| Mika Therapy Llc | |
|
13335 Palomino Dr Suite 202 Apple Valley MN 55124-4248 | |
| (651) 332-2539 | |
| (651) 332-2540 |
| Full Name | Mika Therapy Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 13335 Palomino Dr, Apple Valley, Minnesota |
| Authorized Official Name and Position | Jerry Michael Gates (CEO) |
| Authorized Official Contact | 9522885328 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mika Therapy Llc 13335 Palomino Dr Suite 202 Apple Valley MN 55124-4248 Ph: (651) 332-2539 | Mika Therapy Llc 13335 Palomino Dr Suite 202 Apple Valley MN 55124-4248 Ph: (651) 332-2539 |
| NPI Number | 1700016037 |
|---|---|
| Provider Enumeration Date | 07/21/2009 |
| Last Update Date | 07/21/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700016037 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 2803227-2 (Minnesota) | Primary |
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