Individual
MISS KAYLA YVONNE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
375A W US HIGHWAY 84, FAIRFIELD, TX 75840-1411
(903) 389-7433
(903) 389-7631
Mailing address
PO BOX 1241, CORSICANA, TX 75151-1241
(903) 874-7433
(903) 874-6295
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2151827
TX
Other
Enumeration date
11/04/2019
Last updated
11/04/2019
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