TKM Labs, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

TKM LABS, LLC

Practice address

423 S Wakara Way
Salt Lake City, UT 84108-1242

Phone

(406) 580-4641

NPI assigned

Nov 24, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kole Mickolio, DONPI 1063152213

Title

Owner, Ceo

Phone

(406) 580-4641

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kole Landon Mickolio, DO

  • Student in an Organized Health Care Education/Training Program
  • Bradenton, FL
  • NPI 1063152213
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1763942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763942400000",
    "number": "1487515888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 BRIDGER DR STE B-3",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597152236",
            "telephone_number": "406-580-4641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 S WAKARA WAY",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841081242",
            "telephone_number": "406-580-4641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TKM LABS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-24",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A",
        "authorized_official_last_name": "MICKOLIO",
        "authorized_official_first_name": "KOLE",
        "authorized_official_title_or_position": "OWNER, CEO",
        "authorized_official_telephone_number": "406-580-4641",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melina Tirrell, CSW
• Alyssa Nikole Tisdale
• Randall Titensor
• Amanda M. Tjitro, MD
• Aleksander Tkach, MD
• TLN Professional Services II, PC
• Shaylee Tobaben
• Louise K Tobey, PA-C
• John Tobias III
• Jessica Danielle Tobin, MD

• Physical Therapist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Physical Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.