MEDICARE: MIKA THERAPY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center	2803227-2	MN

General Provider Information

NPI Number	:	1700016037
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MIKA THERAPY LLC

Provider Business Mailing Address
First Line	:	13335 PALOMINO DR
Second Line	:	SUITE 202
City	:	APPLE VALLEY
State	:	MN
Zip	:	55124-4248
Country	:	US
Telephone Number	:	651-332-2539
Fax Number	:	651-332-2540

Provider Business Practice Location Address
First Line	:	13335 PALOMINO DR
Second Line	:	SUITE 202
City	:	APPLE VALLEY
State	:	MN
Zip	:	55124-4248
Country	:	US
Telephone Number	:	651-332-2539
Fax Number	:	651-332-2540

Authorized Official
Title or Position	:	CEO
Name	:	MR. JERRY MICHAEL GATES
Credential	:
Telephone Number	:	952-288-5328

Provider Enumeration Date	:	07/21/2009
Last Update Date	:	07/21/2009

Similar Medicare Providers

1225073588 — VALLEY ASSOCIATED UROLOGY MEDICARE GROUP INC
Practice Location Address:

200 COTTAGE AVE , STE 101
MANTECA, CA
95336-4935

Practice Phone: 209-239-2197
Practice Fax: 209-239-7672

1558435354 — BRIAN JAMES SMITH D.C.
Practice Location Address:

13335 PALOMINO DR , SUITE 204
APPLE VALLEY, MN
55124-4248

Practice Phone: 952-953-9898
Practice Fax:

1861677809 — A.B.L.E. CHIROPRACTIC P.A.
Practice Location Address:

13335 PALOMINO DR , SUITE 203
APPLE VALLEY, MN
55124-4248

Practice Phone: 952-953-9898
Practice Fax: 952-953-4466

1164652400 — MS. KATHLEEN MARIE STRESE
Practice Location Address:

13335 PALOMINO DR , SUITE 202
APPLE VALLEY, MN
55124-4248

Practice Phone: 952-454-6918
Practice Fax: 651-332-2540

1932477676 — MR. JOEL M RONNINGEN LMT
Practice Location Address:

13335 PALOMINO DR , SUITE 206
SAINT PAUL, MN
55124-4248

Practice Phone: 651-295-1127
Practice Fax:

1235426354 — MS. ANGELA LYNN SWARTZ M.S., BCBA
Practice Location Address:

4326 CROW VALLEY DR
MISSOURI CITY, TX
77459-4248

Practice Phone: 407-497-8238
Practice Fax:

Directions to “MIKA THERAPY LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.