Individual
LARENA MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2111 S MAIN ST, HOPKINSVILLE, KY 42240-1757
(270) 985-8372
Mailing address
2111 S MAIN ST, HOPKINSVILLE, KY 42240-1757
(270) 985-8372
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
10349
TN
225700000X
Massage Therapist
Primary
5102
KY
Other
Enumeration date
12/25/2015
Last updated
12/25/2015
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