Individual
KAYLYN MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
31 CHOCTAW CENTER, CHEROKEE VILLAGE, AR 72529
(870) 856-4325
(870) 856-4327
Mailing address
31 CHOCTAW CENTER, CHEROKEE VILLAGE, AR 72529
(870) 856-4325
(870) 856-4327
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA4539
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4536
PTA LICENSE NUMBER
AR
Enumeration date
07/29/2020
Last updated
11/27/2023
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