Individual
MR. JAYE TYLER MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
3427 TYSON RD, NEWTOWN SQUARE, PA 19073-3421
(610) 353-6286
Mailing address
3427 TYSON RD, NEWTOWN SQUARE, PA 19073-3421
(610) 353-6286
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/21/2014
Last updated
07/21/2014
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