Individual
DOUGLAS MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
139 S MAIN ST, NAZARETH, PA 18064-2016
(610) 573-1145
Mailing address
500 OSTRUM ST, FOUNTAIN HILL, PA 18015-1116
(610) 573-1145
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
TMSG000442
PA
Other
Enumeration date
05/08/2013
Last updated
05/08/2013
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