Individual
ISABELLA GRACE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT,ATC
Contact information
Practice address
1400 54TH AVE S, ST PETERSBURG, FL 33705-5099
(682) 367-6873
Mailing address
920 COUNTRY CLUB WAY S, ST PETERSBURG, FL 33705-4643
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
7524
FL
Other
Enumeration date
08/06/2026
Last updated
08/06/2026
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