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Individual
THERESA KELLY-MITCHELL
Active
Individual
THERESA KELLY-MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, PT, MPH
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
19341
MT
225100000X
Physical Therapist
Primary
CP053702T
VA
Other
Enumeration date
03/03/2026
Last updated
03/11/2026
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