Individual
MR. BRYCE MATTHEW MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
4521 LINCOLN AVE, EVANSVILLE, IN 47714-0654
(812) 477-3422
(812) 475-2020
Mailing address
PO BOX 922, EVANSVILLE, IN 47706-0922
(866) 309-5567
(812) 491-1269
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200865190
—
IN
Enumeration date
01/06/2006
Last updated
02/01/2024
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