Individual
ROBERT ALAN MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, BSPT
Contact information
Practice address
220 NW PLATTE VALLEY DR, RIVERSIDE, MO 64150-9793
(816) 741-6374
(816) 505-3312
Mailing address
6397 LEE HWY STE 300, CHATTANOOGA, TN 37421-2564
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
103074
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27955092
BCBS KC
—
01
—
MA437022
MEDICARE PTAN
MO
Enumeration date
05/12/2006
Last updated
05/08/2018
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