Kelsey Rose Mickschl, DPT
Individual provider Active NPI Physical Therapist · White Bear Township, MN
NPI 1659209658 · NPPES record last updated May 11, 2026
Key facts
- NPI
- 1659209658
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 9768 (MN)
- Practice address
- 2540 County Road F E
White Bear Township, MN 55110-3935 - Phone
- (651) 410-6420
- NPI assigned
- May 11, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9768 | MN | MD | School Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 9768 | MN | Yes |
Addresses
Primary practice location
2540 County Road F E
White Bear Township, MN 55110-3935
Mailing address
1045 County Road B W
Roseville, MN 55113-4407
Phone (651) 410-6420
Other providers in White Bear Township, MN
- Bodhi Education Services, LLC
- DK Nutrition LLC
- Kara Danielle Ebert
- Annette M Havlicek
- Andrew Jensen
- Kara Sommerfeld
All providers in White Bear Township, MN · Physical Therapist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 11, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.