Heather M. Mikelson, D.T.
Developmental Therapist in Milford, IL. Individual provider (NPI-1).
NPI number1114178696
StatusActive
Last updated in NPPESOct 2, 2008
Details
- NPI
- 1114178696
- Entity type
- Individual (NPI-1)
- Name
- Heather M. Mikelson
- Credential
- D.T.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 2, 2008
- Last updated
- Oct 2, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 222Q00000X | Developmental Therapist | – | – | Yes |
Practice location
1470 E 1200 North RdMilford, IL 60953-6256
Phone 815-683-2107
Mailing address
1470 E 1200 North RdMilford, IL 60953-6256
Phone 815-683-2107
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