DR. TJODE M MICKELSON D.C
NPI 1104808435
Chiropractor in Festus, MO

Q: What is Tjode Mickelson's NPI number?

The NPI number for Tjode Mickelson is 1104808435. It was assigned to this individual provider in the NPPES registry on November 14, 2005.

Q: What is Tjode Mickelson's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Q: When was this NPI record last updated?

The NPPES record for Tjode Mickelson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 14, 2005

105 BORGA BUILDING, FESTUS, MO 63028(636) 937-3207(636) 937-5307 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Tjode M Mickelson D.c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TJODE M MICKELSON D.C (NPI 1104808435) is an individual chiropractor in Festus, Missouri, licensed in Missouri (2005036767) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1104808435

Entity TypeIndividualFemale

Primary Taxonomy111N00000X

Provider Legal NameDR. TJODE M MICKELSONCredential: D.C

Location Address105 BORGA BUILDINGFestus, MO 63028-1136

Mailing Address8914 Kathlyn DrSaint Louis, MO 63134-3552 · (314) 398-5800

Phone(636) 937-3207

Fax(636) 937-5307

Sole ProprietorYes

Enumeration DateNovember 14, 2005

Last NPPES UpdateJuly 8, 2007

✔ NPI 1104808435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in MO · 2005036767

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

105 BORGA BUILDING, Festus, MO 63028

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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KLINGINSMITH CHIROPRACTIC OFFICE

Chiropractor

105 BORGA BUILDING
FESTUS, MO 63028

Jefferson County (636) 937-3207

DR. CHARLES EUGENE KLINGINSMITH D.C.

Chiropractor

105 BORGA BUILDING
FESTUS, MO 63028

Jefferson County (636) 937-3207

TWIN CITY WELLNESS CENTER LLC

Chiropractor

105 BORGA BUILDING
FESTUS, MO 63028

Jefferson County (314) 398-5800

BROWNING CHIROPRACTIC

Chiropractor

105 BORGA BUILDING
FESTUS, MO 63028

Jefferson County (636) 937-3207

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tjode Mickelson's NPI number?

The NPI number for Tjode Mickelson is 1104808435. It was assigned to this individual provider in the NPPES registry on November 14, 2005.

Where is Tjode Mickelson located?

Tjode Mickelson practices at 105 Borga Building, Festus, MO 63028. The listed phone number is (636) 937-3207.

What is Tjode Mickelson's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Tjode Mickelson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.