Individual
JENNIFER LEE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3965 S MENDENHALL RD STE 20, MEMPHIS, TN 38115-5954
(901) 620-3900
Mailing address
526 COUNTY ROAD 102, BRECKENRIDGE, TX 76424-8301
(254) 559-0797
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12070
TN
225100000X
Physical Therapist
2018008064
MO
Other
Enumeration date
02/26/2018
Last updated
10/29/2018
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