Individual
CARA MITZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT,DPT
Contact information
Practice address
310 N 9TH ST, BISMARCK, ND 58501-4515
(701) 530-8100
Mailing address
500 CRESTLAND PL, BISMARCK, ND 58503-6234
(701) 230-3064
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
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