Individual
DR. MITCHELL RYAN BRIDGEFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
15 8TH AVE N, EDEN PRAIRIE, MN 55343-7670
(529) 933-5085
Mailing address
15 8TH AVE N, EDEN PRAIRIE, MN 55343-7670
(529) 933-5085
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2264
ND
Other
Enumeration date
06/19/2019
Last updated
12/18/2019
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