Individual
MISTY ROBERTS MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
993 E COLLEGE ST, PULASKI, TN 38478-4432
(931) 363-3572
Mailing address
2050 LOFTON HALL RD, ARDMORE, TN 38449-5257
(931) 468-0450
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0000003324
TN
Other
Enumeration date
11/04/2016
Last updated
11/04/2016
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