Individual
MISTY M MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
9905 SAPP BROS. DR, STE 4, OMAHA, NE 68138
(402) 449-9305
Mailing address
5716 S 56TH ST, OMAHA, NE 68117-2320
(402) 917-0932
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2067
NE
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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