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Search › Georgia › 225200000X

Robby Mickelson, PTA

NPI 1386460954 · on the registry since 2024 · sole proprietor

Practice

Address
1212 Broadrick Dr
Dalton, GA 30720
Phone
(706) 270-8008
Fax
(706) 259-6426
Organisation at this address
Hltc, Inc.
Tecs Ga Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-11-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia