Organization
SUSAN ELAINE MITCHELL
Active
Other names
Heavenly Soles Foot Comfort Center
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN ELAINE MITCHELL C.PED (OWNER/CERTIFIED PEDORTHIST)
(573) 348-6767
Entity
Organization
Contact information
Practice address
1018 MAIN ST, SUITE B, OSAGE BEACH, MO 65065-3033
(573) 348-6767
(573) 348-6767
Mailing address
1018 MAIN ST, SUITE B, OSAGE BEACH, MO 65065-3033
(573) 348-6767
(573) 348-6767
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
06/06/2006
Last updated
08/22/2020
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