IndividualActive
Tjode Mickelson, D.C
NPI 1104808435 · Chiropractor · Festus, MO
Provider details
- NPI number
- 1104808435
- Entity type
- Individual
- Primary specialty
- ChiropractorChiropractic Providers
- Credential
- D.C
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2005036767 (MO)
Specialties & taxonomies
Chiropractic Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
105 Borga Building
Festus, MO 63028-1136
Phone: (636) 937-3207
Fax: (636) 937-5307
Approximate (ZIP-level) locationGet directions
Mailing address
8914 Kathlyn Dr
Saint Louis, MO 63134-3552
Registry dates
- Enumerated
- 2005-11-14
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.