Individual
ASHLEY NICOLE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
105 CREDES LNDG, ELKVIEW, WV 25071-8185
(304) 965-7979
(304) 965-3239
Mailing address
105 CREDES LNDG, ELKVIEW, WV 25071-8185
(304) 965-7979
(304) 965-3239
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT002951
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810021192
—
WV
Enumeration date
06/01/2011
Last updated
02/27/2017
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