Individual
KRISTEN MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1001 S BRIDGEWAY PL, EAGLE, ID 83616-6099
(208) 385-3500
Mailing address
1001 S BRIDGEWAY PL, EAGLE, ID 83616-6099
(208) 385-3500
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-8134
ID
Other
Enumeration date
08/18/2022
Last updated
08/18/2022
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