Individual
CARA MITZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT,DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
981
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15970
15970
ND
01
—
53Q79MI
BCBS
MN
05
—
54398
—
ND
01
—
6407046
MEDICA
MN
Enumeration date
09/28/2006
Last updated
05/19/2022
Update your record
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