Individual
MRS. KRISTA MARIE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA, CLT
Contact information
Practice address
6200 XERXES AVE S, EDINA, MN 55423-1033
(701) 320-9793
Mailing address
17247 HORIZON TRL SE, PRIOR LAKE, MN 55372-3939
(701) 320-9793
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A1539
MN
Other
Enumeration date
06/21/2021
Last updated
06/21/2021
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