Search › Utah › 1041C0700X
Holly Mickelson
NPI 1407735277 · on the registry since 2025
Practice
- Address
- 290 W 800 S
Roosevelt, UT 84066 - Phone
- (435) 725-6300
- Fax
- (435) 725-6325
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-08-27
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 Utah