Individual
MRS. STEPHANIE MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MMP, CRP
Contact information
Practice address
2105 ELECTRIC RD, SUITE 103, ROANOKE, VA 24018-2315
(540) 400-0004
Mailing address
2621 BEVERLY BLVD SW, ROANOKE, VA 24015-4023
(540) 400-4980
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019012842
VA
Other
Enumeration date
01/28/2015
Last updated
01/28/2015
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