Individual
NIKKEIA DENISE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
7068 S OUTER 364, O FALLON, MO 63368-7757
(636) 240-6100
Mailing address
454 FALL RIVER LN, SAINT CHARLES, MO 63304-8501
(314) 680-5776
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2015027113
MO
Other
Enumeration date
02/28/2023
Last updated
02/28/2023
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