Individual
DR. MATTHEW DENNIS MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, OCS
Contact information
Practice address
196 ARROWHEAD DR STE 3, EVANSTON, WY 82930-8752
(307) 783-8220
Mailing address
196 ARROWHEAD DR STE 3, EVANSTON, WY 82930-8752
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1791
WY
225100000X
Physical Therapist
2305207831
VA
Other
Enumeration date
12/18/2012
Last updated
02/10/2020
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