Individual
MR. MITCHELL KEVIN RACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LAT, ATC
Contact information
Practice address
700 LANSDALE AVE, LANSDALE, PA 19446-2962
(267) 642-6903
Mailing address
56 FRANKLIN AVE, SOUDERTON, PA 18964-1814
(267) 642-6903
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT008495
PA
Other
Enumeration date
12/16/2022
Last updated
12/04/2024
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