Individual
MR. JASON CHRISTOPHER MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSED, ATC, V, ATL
Contact information
Practice address
OLD DOMINION UNIVERSITY, ATHLETIC ADMINISTRATION BUILDING #1113C, NORFOLK, VA 23529-0001
(757) 683-6462
(757) 683-5445
Mailing address
8908 SEMMES AVE, NORFOLK, VA 23503-4828
(210) 382-8214
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT3766
TX
Other
Enumeration date
03/27/2007
Last updated
04/18/2014
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