Individual
HEIDI MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1450 E VALLEY RD, SUITE 203, BASALT, CO 81621-8304
(970) 927-9319
(970) 927-0168
Mailing address
1450 E VALLEY RD, SUITE 203, BASALT, CO 81621-8304
(970) 927-9319
(970) 927-0168
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT 3192
CA
Other
Enumeration date
04/07/2008
Last updated
04/07/2008
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