Individual
JARRON MITCHELL
Active
Individual
JARRON MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60091500
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205064193
—
WA
01
—
P01322183
RR
WA
Enumeration date
06/30/2009
Last updated
07/29/2014
Update your record
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