DR. TJODE M MICKELSON (D.C) – Chiropractor, NPI 1104808435

DR. TJODE M MICKELSON (D.C) is a healthcare provider. based in Saint louis, Missouri. specializing in Chiropractor. They hold the professional credentials D.C. They hold a License No. 2005036767 (MO). The NPI Number for DR. TJODE M MICKELSON (D.C) is 1104808435

Main info

Female
Sole Proprietor
Name
DR. TJODE M MICKELSON (D.C)
NPI
1104808435
Phone
(314) 398-5800
Address
8914 KATHLYN DR
Enumeration Date
14 November 2005
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for DR. TJODE M MICKELSON (D.C)

  • 8914, Kathlyn Drive, Eleanor Park, Berkeley, Saint Louis County, Missouri, 63134, United States

    SAINT LOUIS, MO 631343552

    Phone: (314) 398-5800

    Type: Mailing

  • 105 BORGA BUILDING

    FESTUS, MO 630281136

    Phone: (636) 937-3207

    Fax: (636) 937-5307

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 63134)

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Reviews

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Frequently asked questions

What identifier follows DR. TJODE M MICKELSON (D.C) across health systems?
The NPI 1104808435 uniquely identifies DR. TJODE M MICKELSON (D.C) in U.S. healthcare data.
Is DR. TJODE M MICKELSON (D.C) currently accepting referrals based on NPI status?
Registry metadata lists DR. TJODE M MICKELSON (D.C) as active.
What type of care does DR. TJODE M MICKELSON (D.C) provide?
DR. TJODE M MICKELSON (D.C)'s profile centers on Chiropractor. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. TJODE M MICKELSON (D.C)?
DR. TJODE M MICKELSON (D.C) shows a connection to Saint Louis, Missouri in registry-derived data.
Who maintains DR. TJODE M MICKELSON (D.C)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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