Individual
BRITTANY LYNN MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1925 17TH ST NE, SALEM, OR 97301-7911
(702) 600-5562
Mailing address
1925 17TH ST NE, SALEM, OR 97301-7911
(702) 600-5562
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
24374
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24374
LMT LICENCE NUMBER
OR
Enumeration date
06/01/2018
Last updated
06/01/2018
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