Shaun Mickelsen, PA-C

NPI 1871945618 · on the registry since 2016

Practice

Address: 2121 N 1700 W
Layton, UT 84041
Phone: (801) 773-4840
Organisation at this address: M&B Homecare Inc.
Tanner Memorial Clinic
Tanner Memorial Clinic
Aspen Ridge Physical Therapy, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 153

Registry record

Primary taxonomy: 363AM0700X
363AM0700X
Licence states on file: UT
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2016-10-06

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